Ellsworth, Chantel Lanae

Ellsworth, Chantel Lanae is an sole proprietor health care provider with primary practice located at 2935 S Recker Rd , Gilbert AZ 85295-7846. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Ellsworth, Chantel Lanae can be contacted via phone (480) 279-7000.

Contact Information

Primary practice address
2935 S Recker Rd Gilbert AZ 85295-7846
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X Arizona

Profile Details

NPI number 1114103272
LBN Legal business name Ellsworth, Chantel Lanae
Credentials MAED
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 18th, 2008
Last updated Feb 11th, 2008 - about 16 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.

Request for update

Popular Providers