Ellis, Randall W
Ellis, Randall W is an sole proprietor health care provider with primary practice located at 2 Keewaydin Dr , Salem NH 03079-2839. He recently has only one registered license in Nursing Service Providers / Emergency, which is considered as his primary health care specialty. Ellis, Randall W can be contacted via phone (800) 995-2673.Contact Information
Primary practice address
2 Keewaydin Dr
Salem NH 03079-2839
Phone: (800) 995-2673
Fax: (888) 979-6551
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Emergency | 163WE0003X | RN53627 | Maine |
Profile Details
| NPI number | 1073901971 |
|---|---|
| LBN Legal business name | Ellis, Randall W |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 30th, 2014 |
| Last updated | Dec 30th, 2014 - about 11 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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