Ellis, Thomas Matthew
Ellis, Thomas Matthew is an sole proprietor health care provider with primary practice located at 1133 Grand Ave , Saint Paul MN 55105-2629. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Ellis, Thomas Matthew can be contacted via phone (651) 641-0177.Contact Information
Primary practice address
1133 Grand Ave
Saint Paul MN 55105-2629
Phone: (651) 641-0177
Fax: (651) 641-8635
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 1017 | Minnesota |
Profile Details
| NPI number | 1144357542 |
|---|---|
| LBN Legal business name | Ellis, Thomas Matthew |
| Credentials | MA LMFT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 27th, 2007 |
| Last updated | Jul 8th, 2007 - 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.
Popular Providers
-
Mishacoff, Natascha Lynn
280 Smith Ave N Doctor'S Professional Building, Saint Paul MN 55102-2424 -
Logan, Sarah
1133 Grand Ave , Saint Paul MN 55105-2629 -
Moujid, Bobbi-Jo Lisa
400 Sibley St Ste 500 , Saint Paul MN 55101-1938 -
Rangel, Carol
1821 University Ave W N-263, Saint Paul MN 55104-2801 -
Whitaker, Holly S
1360 Energy Park Dr Ste 330 , Saint Paul MN 55108-5298 -
Fisher, Rashida Karriem
690 Cleveland Ave S Suite 150, Saint Paul MN 55116-1319 -
Hughes-Polk, Aki K
1740 Vandyke St. Woodland Hills Church, Saint Paul MN 55109 -
Lewis, Amy Beth
153 Cesar Chavez St , Saint Paul MN 55107-2226