Ellison, Kurt Mervin

Ellison, Kurt Mervin is an sole proprietor health care provider with primary practice located at 1639 Forum Pl Ste 7 , West Palm Beach FL 33401-2330. He recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as his primary health care specialty. Ellison, Kurt Mervin can be contacted via phone (561) 712-8821.

Contact Information

Primary practice address
1639 Forum Pl Ste 7 West Palm Beach FL 33401-2330
Phone: (561) 712-8821
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X PN5222714 Florida

Profile Details

NPI number 1669003711
LBN Legal business name Ellison, Kurt Mervin
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 28th, 2020
Last updated Jan 28th, 2020 - about 4 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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