Ellis, Simon Edward

Ellis, Simon Edward is an individual health care provider with primary practice located at 1311 Fort Street , Barling AR 72923. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Ellis, Simon Edward can be contacted via phone (479) 452-5040.

Contact Information

Primary practice address
1311 Fort Street Barling AR 72923
Phone: (479) 452-5040
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2081M Arkansas

Profile Details

NPI number 1255582235
LBN Legal business name Ellis, Simon Edward
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 8th, 2008
Last updated Oct 8th, 2008 - about 17 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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