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:
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Health care specialties

SpecialtyCodeLicense #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 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1447238258 NPPES
Nevada MEDICAID 100500818

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