Ellison, Marsha

Ellison, Marsha is an individual health care provider with primary practice located at 7941 Sw 10Th Ct Apt B , North Lauderdale FL 33068-5912. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Ellison, Marsha can be contacted via phone (754) 816-0677.

Contact Information

Primary practice address
7941 Sw 10Th Ct Apt B North Lauderdale FL 33068-5912
Phone: (754) 816-0677
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X

Profile Details

NPI number 1861077810
LBN Legal business name Ellison, Marsha
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 11th, 2021
Last updated Mar 11th, 2021 - about 3 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 1861077810 NPPES
Florida MEDICAID 15234

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