Ellis, Quentin T

Ellis, Quentin T is an individual health care provider with primary practice located at 10632 Eagle Way , Hopkinsville KY 42240-8779. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Ellis, Quentin T can be contacted via phone (270) 702-4641.

Contact Information

Primary practice address
10632 Eagle Way Hopkinsville KY 42240-8779
Phone: (270) 702-4641
Fax: (615) 577-5654
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1801406277
LBN Legal business name Ellis, Quentin T
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2020
Last updated Jul 31st, 2020 - about 5 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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