Ellisor, Cheryl Lynn
Ellisor, Cheryl Lynn is an sole proprietor health care provider with primary practice located at 3201 S Loop 256 , Palestine TX 75801-6901. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Ellisor, Cheryl Lynn can be contacted via phone (903) 723-0330.Contact Information
Primary practice address
3201 S Loop 256
Palestine TX 75801-6901
Phone: (903) 723-0330
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1117216 | Texas |
Profile Details
| NPI number | 1407250889 |
|---|---|
| LBN Legal business name | Ellisor, Cheryl Lynn |
| Credentials | PT, DPT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 14th, 2014 |
| Last updated | Mar 17th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407250889 | NPPES |
| Texas | Other | 1U4936 | MEDICARE |
| Texas | MEDICAID | 430137601 | MEDICARE |
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