Ellis, Stephani

Ellis, Stephani is an sole proprietor health care provider with primary practice located at 907 Bancroft Pl , Belvidere IL 61008-5040. She recently has only one registered license in Agencies / Early Intervention Provider Agency, which is considered as her primary health care specialty. Ellis, Stephani can be contacted via phone (630) 308-2389.

Contact Information

Primary practice address
907 Bancroft Pl Belvidere IL 61008-5040
Phone: (630) 308-2389
Fax: (815) 544-5581
Website:
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Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X 471661 Illinois

Profile Details

NPI number 1164777124
LBN Legal business name Ellis, Stephani
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 16th, 2012
Last updated Jul 16th, 2012 - about 13 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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