Ellis, Lisa D
Ellis, Lisa D is an sole proprietor health care provider with primary practice located at 1301 Mamaroneck Ave , White Plains NY 10605-5202. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Ellis, Lisa D can be contacted via phone (914) 589-7962.Contact Information
Primary practice address
1301 Mamaroneck Ave
White Plains NY 10605-5202
Phone: (914) 589-7962
Fax: (914) 761-3963
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 165-1 | New York |
Profile Details
| NPI number | 1265583629 |
|---|---|
| LBN Legal business name | Ellis, Lisa D |
| Credentials | MS, RD, CDN |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 14th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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