Ellis, Shanna
Ellis, Shanna is an sole proprietor health care provider with primary practice located at 5405 Rural Way , Louisville KY 40218-4247. She recently has only one registered license in Nursing Service Providers / Medical-Surgical, which is considered as her primary health care specialty. Ellis, Shanna can be contacted via phone (502) 741-0193.Contact Information
Primary practice address
5405 Rural Way
Louisville KY 40218-4247
Phone: (502) 741-0193
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Medical-Surgical | 163WM0705X | 1119268 | Kentucky |
Profile Details
| NPI number | 1770171522 |
|---|---|
| LBN Legal business name | Ellis, Shanna |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 7th, 2021 |
| Last updated | Jan 7th, 2021 - about 3 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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