Ellis, Katherine L

Ellis, Katherine L is an sole proprietor health care provider with primary practice located at 1200 Reba Mcentire Dr , Denison TX 75020-9057. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is her primary health care specialty. Ellis, Katherine L can be contacted via phone (903) 416-1025.

Contact Information

Primary practice address
1200 Reba Mcentire Dr Denison TX 75020-9057
Phone: (903) 416-1025
Fax: (903) 327-8023
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X J3091 Texas
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X J3091 Texas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X J3091 Texas

Profile Details

NPI number 1871570101
LBN Legal business name Ellis, Katherine L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 28th, 2005
Last updated Jan 3rd, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871570101 NPPES
Texas MEDICAID 099349501

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