Ellis, Virginia Lynne

Ellis, Virginia Lynne is an sole proprietor health care provider with primary practice located at 4901 N Shore Dr , North Little Rock AR 72118-5293. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Ellis, Virginia Lynne can be contacted via phone (501) 791-3331.

Contact Information

Primary practice address
4901 N Shore Dr North Little Rock AR 72118-5293
Phone: (501) 791-3331
Fax: (501) 791-0294
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OTR1481 Arkansas

Profile Details

NPI number 1851567044
LBN Legal business name Ellis, Virginia Lynne
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 7th, 2008
Last updated May 7th, 2008 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1851567044 NPPES
Arkansas MEDICAID 145091721

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