Ellis, Mercedes
Ellis, Mercedes is an sole proprietor health care provider with primary practice located at 827 Clarkson Ave , Brooklyn NY 11203-2256. She recently has only one registered license in Other Service Providers / Health Educator, which is considered as her primary health care specialty. Ellis, Mercedes can be contacted via phone (718) 735-7151.Contact Information
Primary practice address
827 Clarkson Ave
Brooklyn NY 11203-2256
Phone: (718) 735-7151
Fax: (718) 735-7141
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Health Educator | 174H00000X | 92507 | New York |
Profile Details
| NPI number | 1932455763 |
|---|---|
| LBN Legal business name | Ellis, Mercedes |
| Credentials | MSCED |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 30th, 2012 |
| Last updated | Jul 30th, 2012 - about 13 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 | 1932455763 | NPPES |
| New York | MEDICAID | 1992903736 |
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