Ellis, Nolan Andrew

Ellis, Nolan Andrew is an sole proprietor health care provider with primary practice located at 3156 Salmon St , San Diego CA 92124-3616. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Ellis, Nolan Andrew can be contacted via phone (859) 802-9800.

Contact Information

Primary practice address
3156 Salmon St San Diego CA 92124-3616
Phone: (859) 802-9800
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1174019046
LBN Legal business name Ellis, Nolan Andrew
Credentials DIVE IDC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 3rd, 2018
Last updated Jul 3rd, 2018 - about 6 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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