Ellis, Waconda

Ellis, Waconda is an sole proprietor health care provider with primary practice located at 5304 Daywood St , North Las Vegas NV 89031-7917. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor, which is considered as her primary health care specialty. Ellis, Waconda can be contacted via phone (702) 649-5995.

Contact Information

Primary practice address
5304 Daywood St North Las Vegas NV 89031-7917
Phone: (702) 649-5995
Fax: (702) 399-9801
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor 225C00000X

Profile Details

NPI number 1902188949
LBN Legal business name Ellis, Waconda
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 15th, 2011
Last updated Sep 15th, 2011 - about 13 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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