Ellis, Sherrod
Ellis, Sherrod is an sole proprietor health care provider with primary practice located at 1506 W Pioneer Pkwy , Arlington TX 76013-6230. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Ellis, Sherrod can be contacted via phone (817) 371-2593.Contact Information
Primary practice address
1506 W Pioneer Pkwy
Arlington TX 76013-6230
Phone: (817) 371-2593
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 22702 | Texas |
Profile Details
| NPI number | 1720442817 |
|---|---|
| LBN Legal business name | Ellis, Sherrod |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 5th, 2016 |
| Last updated | Apr 5th, 2016 - about 8 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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