Ellis, Tina Marie

Ellis, Tina Marie is an sole proprietor health care provider with primary practice located at 225 Plantation Dr , Mineral Wells WV 26150-9638. She recently has only one registered license in Agencies / Early Intervention Provider Agency, which is considered as her primary health care specialty. Ellis, Tina Marie can be contacted via phone (304) 483-3077.

Contact Information

Primary practice address
225 Plantation Dr Mineral Wells WV 26150-9638
Phone: (304) 483-3077
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X

Profile Details

NPI number 1083451918
LBN Legal business name Ellis, Tina Marie
Credentials EARLY INTERVENTION
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 9th, 2024
Last updated Jul 9th, 2024 - about last year

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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