Ellis, Keith
Ellis, Keith is an sole proprietor health care provider with primary practice located at 502 E 1100 N , Chesterton IN 46304. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Ellis, Keith can be contacted via phone (219) 926-5850.Contact Information
Primary practice address
502 E 1100 N
Chesterton IN 46304
Phone: (219) 926-5850
Fax: (219) 250-2072
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 05010042A | Indiana |
Profile Details
| NPI number | 1972823367 |
|---|---|
| LBN Legal business name | Ellis, Keith |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 8th, 2010 |
| Last updated | Nov 26th, 2021 - about 4 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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