Ellis, Stacey L

Ellis, Stacey L is an individual health care provider with primary practice located at 2773 Harris St Ste C , Eureka CA 95503-4866. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotic Fitter, which is considered as her primary health care specialty. Ellis, Stacey L can be contacted via phone (707) 444-0116.

Contact Information

Primary practice address
2773 Harris St Ste C Eureka CA 95503-4866
Phone: (707) 444-0116
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotic Fitter 225000000X

Profile Details

NPI number 1285821256
LBN Legal business name Ellis, Stacey L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2007
Last updated Oct 3rd, 2007 - 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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