Ellis, Nicole

Ellis, Nicole is an individual health care provider with primary practice located at 7419 Granby St , Norfolk VA 23505-3406. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Other Service Providers / Specialist is her primary health care specialty. Ellis, Nicole can be contacted via phone (757) 489-5820.

Contact Information

Primary practice address
7419 Granby St Norfolk VA 23505-3406
Phone: (757) 489-5820
Fax: (757) 489-5822
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 2305205979 Virginia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2305205979 Virginia

Profile Details

NPI number 1922231893
LBN Legal business name Ellis, Nicole
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2009
Last updated Aug 26th, 2009 - about 16 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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