Ellis, Marty Leon

Ellis, Marty Leon is an individual health care provider with primary practice located at 23020 M Rd , Holton KS 66436-8641. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Ellis, Marty Leon can be contacted via phone (785) 362-8677.

Contact Information

Primary practice address
23020 M Rd Holton KS 66436-8641
Phone: (785) 362-8677
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 81573 Kansas

Profile Details

NPI number 1225752033
LBN Legal business name Ellis, Marty Leon
Credentials APRN, FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2022
Last updated Sep 27th, 2022 - 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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