Ellis, Terri

Ellis, Terri is an individual health care provider with primary practice located at 925 Highway V V , Kennett MO 63857-0071. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Ellis, Terri can be contacted via phone (573) 888-0642.

Contact Information

Primary practice address
925 Highway V V Kennett MO 63857-0071
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1306257639
LBN Legal business name Ellis, Terri
Credentials PSR TECH
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2014
Last updated May 8th, 2014 - about 11 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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