Ellis, Terrence

Ellis, Terrence is an individual health care provider with primary practice located at 5200 Fairview Blvd , Wyoming MN 55092-8013. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Clinical Exercise Physiologist, which is considered as his primary health care specialty. Ellis, Terrence can be contacted via phone (651) 982-7843.

Contact Information

Primary practice address
5200 Fairview Blvd Wyoming MN 55092-8013
Phone: (651) 982-7843
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Clinical Exercise Physiologist 224Y00000X

Profile Details

NPI number 1467019414
LBN Legal business name Ellis, Terrence
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2019
Last updated May 24th, 2019 - about 6 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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