Ellis, Lisa L

Ellis, Lisa L is an individual health care provider with primary practice located at 102 Technology Dr Suite 230, Butler PA 16001-1784. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Ellis, Lisa L can be contacted via phone (877) 661-3376.

Contact Information

Primary practice address
102 Technology Dr Suite 230 Butler PA 16001-1784
Phone: (877) 661-3376
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MA054156 Pennsylvania

Profile Details

NPI number 1306169792
LBN Legal business name Ellis, Lisa L
Credentials MPAS, PA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 2010
Last updated Nov 15th, 2016 - about 8 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 1306169792 NPPES
Pennsylvania Other MA054156 LICENSE #

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