Ellis, Peggy B

Ellis, Peggy B is an individual health care provider with primary practice located at 211 4Th St , Alexandria LA 71301-8421. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Ellis, Peggy B can be contacted via phone (318) 473-3000.

Contact Information

Primary practice address
211 4Th St Alexandria LA 71301-8421
Phone: (318) 473-3000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN048880 Louisiana

Profile Details

NPI number 1497748172
LBN Legal business name Ellis, Peggy B
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2005
Last updated Oct 17th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1497748172 NPPES
Louisiana MEDICAID 1919691

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