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 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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