Ellis, Sashane Ruth Ann

Ellis, Sashane Ruth Ann is an sole proprietor health care provider with primary practice located at 21807 141St Ave Apt 1D , Springfield Gardens NY 11413-2664. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Ellis, Sashane Ruth Ann can be contacted via phone (770) 789-4989.

Contact Information

Primary practice address
21807 141St Ave Apt 1D Springfield Gardens NY 11413-2664
Phone: (770) 789-4989
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 300901-1 New York

Profile Details

NPI number 1407175276
LBN Legal business name Ellis, Sashane Ruth Ann
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 19th, 2010
Last updated May 19th, 2010 - about 16 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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