Ellis, Sarah E
Ellis, Sarah E is an individual health care provider with primary practice located at 502 E General Stewart Way Ste A , Hinesville GA 31313. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Ellis, Sarah E can be contacted via phone (912) 368-1966.Contact Information
Primary practice address
502 E General Stewart Way Ste A
Hinesville GA 31313
Phone: (912) 368-1966
Fax: (912) 368-1966
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN256687 | Georgia |
Profile Details
| NPI number | 1720385412 |
|---|---|
| LBN Legal business name | Ellis, Sarah E |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 16th, 2011 |
| Last updated | Jun 19th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720385412 | NPPES |
| Georgia | MEDICAID | 003182987B | |
| Georgia | MEDICAID | 003182987A |
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