Ellis, Tim
Ellis, Tim is an sole proprietor health care provider with primary practice located at 3651 Shepherdsville Rd , Elizabethtown KY 42701-9511. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Ellis, Tim can be contacted via phone (270) 378-0230.Contact Information
Primary practice address
3651 Shepherdsville Rd
Elizabethtown KY 42701-9511
Phone: (270) 378-0230
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 1284 | Kentucky |
Profile Details
| NPI number | 1811949142 |
|---|---|
| LBN Legal business name | Ellis, Tim |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 16th, 2006 |
| Last updated | Sep 9th, 2015 - about 10 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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