Ellis, Linda A

Ellis, Linda A is an sole proprietor health care provider with primary practice located at 2484 Ingleside Ave Suite 108, Macon GA 31204-2089. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Ellis, Linda A can be contacted via phone (478) 719-2424.

Contact Information

Primary practice address
2484 Ingleside Ave Suite 108 Macon GA 31204-2089
Phone: (478) 719-2424
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MT 000308 Georgia

Profile Details

NPI number 1750656583
LBN Legal business name Ellis, Linda A
Credentials BA, LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 12th, 2012
Last updated Mar 12th, 2012 - about 13 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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