Ellis, Mary Ann
Ellis, Mary Ann is an individual health care provider with primary practice located at 3570 Forest Lake Dr , Uniontown OH 44685-8105. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Ellis, Mary Ann can be contacted via phone (720) 200-2825.Contact Information
Primary practice address
3570 Forest Lake Dr
Uniontown OH 44685-8105
Phone: (720) 200-2825
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 611718 | Ohio |
Profile Details
| NPI number | 1639567688 |
|---|---|
| LBN Legal business name | Ellis, Mary Ann |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 29th, 2014 |
| Last updated | Dec 29th, 2014 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639567688 | NPPES |
| Ohio | Other | MAE2015 | FFM UID |
| Ohio | Other | ME2015 | FFM UID |
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