Ellis, Vickie Eileen

Ellis, Vickie Eileen is an individual health care provider with primary practice located at 201 W. Kenyon Rd , Champaign IL 61820-7892. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Ellis, Vickie Eileen can be contacted via phone (217) 531-5365.

Contact Information

Primary practice address
201 W. Kenyon Rd Champaign IL 61820-7892
Phone: (217) 531-5365
Fax: (217) 531-5378
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 209002125 Illinois

Profile Details

NPI number 1619102456
LBN Legal business name Ellis, Vickie Eileen
Credentials APN/CNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2009
Last updated Aug 17th, 2012 - about 12 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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