Ellis, Renalla Kaye
Ellis, Renalla Kaye is an individual health care provider with primary practice located at 2510 E Independence St , Shawnee OK 74804-1839. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Ellis, Renalla Kaye can be contacted via phone (405) 273-2002.Contact Information
Primary practice address
2510 E Independence St
Shawnee OK 74804-1839
Phone: (405) 273-2002
Fax: (405) 273-0087
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 5285 | Oklahoma |
Profile Details
| NPI number | 1548319130 |
|---|---|
| LBN Legal business name | Ellis, Renalla Kaye |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 10th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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