Ellsworth, Jamie

Ellsworth, Jamie is an individual health care provider with primary practice located at 700 E Walnut St , Bloomington IL 61701-3244. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Ellsworth, Jamie can be contacted via phone (309) 827-8004.

Contact Information

Primary practice address
700 E Walnut St Bloomington IL 61701-3244
Phone: (309) 827-8004
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X Illinois

Profile Details

NPI number 1467570432
LBN Legal business name Ellsworth, Jamie
Credentials SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2007
Last updated Jul 8th, 2007 - about 18 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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