Ellis, Shawn
Ellis, Shawn is an individual health care provider with primary practice located at 3533 Southern Blvd Ste 5650, Kettering OH 45429-1264. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Perfusionist, which is considered as his primary health care specialty. Ellis, Shawn can be contacted via phone (937) 294-3611.Contact Information
Primary practice address
3533 Southern Blvd Ste 5650
Kettering OH 45429-1264
Phone: (937) 294-3611
Fax: (937) 294-9010
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Perfusionist | 242T00000X | 060010 | Ohio |
Profile Details
| NPI number | 1700025244 |
|---|---|
| LBN Legal business name | Ellis, Shawn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 6th, 2009 |
| Last updated | Feb 6th, 2009 - about 15 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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