Ellis, Tracy
Ellis, Tracy is an sole proprietor health care provider with primary practice located at 70 N Main St Ste 104 , Bountiful UT 84010-6115. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ellis, Tracy can be contacted via phone (801) 298-5222.Contact Information
Primary practice address
70 N Main St Ste 104
Bountiful UT 84010-6115
Phone: (801) 298-5222
Fax: (801) 294-0295
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 10949998-2501 | Utah |
Profile Details
| NPI number | 1992273734 |
|---|---|
| LBN Legal business name | Ellis, Tracy |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 9th, 2018 |
| Last updated | Nov 9th, 2018 - about 7 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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