Ellis, Robert Ray

Ellis, Robert Ray is an sole proprietor health care provider with primary practice located at 4016 Cassimer Ave , Diberville MS 39540-2309. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Military Health Care Provider, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Ellis, Robert Ray can be contacted via phone (228) 326-1115.

Contact Information

Primary practice address
4016 Cassimer Ave Diberville MS 39540-2309
Phone: (228) 326-1115
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Military Health Care Provider 171000000X PT5070 Mississippi
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT5070 Mississippi

Profile Details

NPI number 1881945566
LBN Legal business name Ellis, Robert Ray
Credentials DPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2012
Last updated Dec 15th, 2023 - about 2 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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