Ellis, Marquis R

Ellis, Marquis R is an individual health care provider with primary practice located at 5406 Merle Hay Rd , Johnston IA 50131-1209. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Ellis, Marquis R can be contacted via phone (515) 727-8750.

Contact Information

Primary practice address
5406 Merle Hay Rd Johnston IA 50131-1209
Phone: (515) 727-8750
Fax: (515) 727-8757
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 000905 Iowa

Profile Details

NPI number 1386845071
LBN Legal business name Ellis, Marquis R
Credentials OTR-L
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2007
Last updated Jul 8th, 2007 - about 18 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 1386845071 NPPES
Iowa Other 29818 WELLMARK BCBS

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