Ellison, Patti A

Ellison, Patti A is an sole proprietor health care provider with primary practice located at 25 Whitney Dr Ste 122 , Milford OH 45150-8400. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Ellison, Patti A can be contacted via phone (513) 941-4999.

Contact Information

Primary practice address
25 Whitney Dr Ste 122 Milford OH 45150-8400
Fax: (513) 694-0168
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN.CNP.04386 Ohio
Nursing Service Providers / Registered Nurse 163W00000X RN.166532 Ohio

Profile Details

NPI number 1144260035
LBN Legal business name Ellison, Patti A
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2006
Last updated Aug 4th, 2023 - about last year

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 1144260035 NPPES
Ohio MEDICAID 2200577

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