Ellis, Tamika Clarice
Ellis, Tamika Clarice is an sole proprietor health care provider with primary practice located at 5354 Ashford Ridge Rd , Westerville OH 43081-6005. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Ellis, Tamika Clarice can be contacted via phone (419) 290-3824.Contact Information
Primary practice address
5354 Ashford Ridge Rd
Westerville OH 43081-6005
Phone: (419) 290-3824
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Licensed Practical Nurse | 164W00000X | PN-114184 | Ohio |
Profile Details
| NPI number | 1639385925 |
|---|---|
| LBN Legal business name | Ellis, Tamika Clarice |
| Credentials | Licensed Practical Nurse (LPN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 15th, 2007 |
| Last updated | Mar 10th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639385925 | NPPES |
| Ohio | Other | 2574790 | INDEPENDENT PROVIDER |
| Ohio | MEDICAID | 2574790 | INDEPENDENT PROVIDER |
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