Ellis, Tyler
Ellis, Tyler is an individual health care provider with primary practice located at 400 Cw Stevens Blvd , Grayson KY 41143-2014. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Ellis, Tyler can be contacted via phone (606) 398-2111.Contact Information
Primary practice address
400 Cw Stevens Blvd
Grayson KY 41143-2014
Phone: (606) 398-2111
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X |
Profile Details
| NPI number | 1649017658 |
|---|---|
| LBN Legal business name | Ellis, Tyler |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| 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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