Ellis, Spencer L

Ellis, Spencer L is an individual health care provider with primary practice located at 2808 S. Picher St. , Joplin MO 64803. 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, Spencer L can be contacted via phone (417) 347-7700.

Contact Information

Primary practice address
2808 S. Picher St. Joplin MO 64803
Phone: (417) 347-7700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1342 Missouri

Profile Details

NPI number 1851429294
LBN Legal business name Ellis, Spencer L
Credentials CASAC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2007
Last updated Jul 8th, 2007 - about 19 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.

Request for update

Popular Providers