Ellis, Michelle Diane

Ellis, Michelle Diane is an individual health care provider with primary practice located at 1425 S Columbia Rd , Grand Forks ND 58201-4039. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer is her primary health care specialty. Ellis, Michelle Diane can be contacted via phone (701) 746-8374.

Contact Information

Primary practice address
1425 S Columbia Rd Grand Forks ND 58201-4039
Phone: (701) 746-8374
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 1174 Minnesota
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X A877 Minnesota

Profile Details

NPI number 1306272794
LBN Legal business name Ellis, Michelle Diane
Credentials ATC PTA
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2013
Last updated Oct 15th, 2018 - about 7 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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