Ellis, Mindy Shook

Ellis, Mindy Shook is an individual health care provider with primary practice located at 101 Harris Industrial Blvd , Vidalia GA 30474-8852. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Ellis, Mindy Shook can be contacted via phone (912) 277-2033.

Contact Information

Primary practice address
101 Harris Industrial Blvd Vidalia GA 30474-8852
Phone: (912) 277-2033
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AT001661 Georgia

Profile Details

NPI number 1720412265
LBN Legal business name Ellis, Mindy Shook
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2013
Last updated Aug 31st, 2013 - 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.

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