Ellis, Tani K
Ellis, Tani K is an individual health care provider with primary practice located at 1 Coral Sea St Medical, Kapolei HI 96707-3693. She recently has only one registered license in Other Service Providers / Military Health Care Provider, which is considered as her primary health care specialty. Ellis, Tani K can be contacted via phone (808) 682-2673.Contact Information
Primary practice address
1 Coral Sea St Medical
Kapolei HI 96707-3693
Phone: (808) 682-2673
Fax: (808) 682-2779
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Military Health Care Provider | 171000000X | California |
Profile Details
| NPI number | 1033254032 |
|---|---|
| LBN Legal business name | Ellis, Tani K |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 20th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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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