Ellis, Sallie R.

Ellis, Sallie R. is an individual health care provider with primary practice located at 1105 Woodstock Avenue , Anniston AL 36207-4208. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, which is considered as her primary health care specialty. Ellis, Sallie R. can be contacted via phone (256) 240-7272.

Contact Information

Primary practice address
1105 Woodstock Avenue Anniston AL 36207-4208
Fax: (256) 240-7242
Website:

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X C08-0119A Alabama

Profile Details

NPI number 1356508527
LBN Legal business name Ellis, Sallie R.
Credentials NURSE
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2008
Last updated May 4th, 2018 - about 6 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 1356508527 NPPES
Alabama Other 51548269 BLUE CROSS BLUE SHIELD

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