Ellwood, Amy
Ellwood, Amy is an individual health care provider with primary practice located at 2410 Fire Mesa St #180, Family Practice Center, Las Vegas NV 89128-9016. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ellwood, Amy can be contacted via phone (702) 992-6888.Contact Information
Primary practice address
2410 Fire Mesa St #180, Family Practice Center
Las Vegas NV 89128-9016
Phone: (702) 992-6888
Fax: (702) 992-6880
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 01405-C | Nevada |
Profile Details
| NPI number | 1447238258 |
|---|---|
| LBN Legal business name | Ellwood, Amy |
| Credentials | M.S.W. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 3rd, 2006 |
| Last updated | Apr 24th, 2013 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447238258 | NPPES |
| Nevada | MEDICAID | 100500818 |
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