Ellsworth, Stacey Ann

Ellsworth, Stacey Ann is an sole proprietor health care provider with primary practice located at 6333 E Skelly Dr , Tulsa OK 74135-6106. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as her primary health care specialty. Ellsworth, Stacey Ann can be contacted via phone (918) 633-0325.

Contact Information

Primary practice address
6333 E Skelly Dr Tulsa OK 74135-6106
Phone: (918) 633-0325
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X

Profile Details

NPI number 1427321207
LBN Legal business name Ellsworth, Stacey Ann
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 9th, 2012
Last updated Feb 9th, 2012 - about 12 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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