Ellis, Terri Diane

Ellis, Terri Diane is an individual health care provider with primary practice located at 301 Andrews Ave. , Fort Rucker AL 36362-0000. She recently has only one registered license in Nursing Service Providers / Ambulatory Care, which is considered as her primary health care specialty. Ellis, Terri Diane can be contacted via phone (334) 255-7883.

Contact Information

Primary practice address
301 Andrews Ave. Fort Rucker AL 36362-0000
Fax: (334) 255-7090
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Ambulatory Care 163WP2201X 1-061216 Alabama

Profile Details

NPI number 1841468634
LBN Legal business name Ellis, Terri Diane
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2008
Last updated Feb 14th, 2008 - about 16 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.

Request for update

Popular Providers