Ennis, Bill Dean

Ennis, Bill Dean is an sole proprietor health care provider with primary practice located at 3116 Otis Av , Modesto CA 95350. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Ennis, Bill Dean can be contacted via phone (209) 567-1432.

Contact Information

Primary practice address
3116 Otis Av Modesto CA 95350
Phone: (209) 567-1432
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X

Profile Details

NPI number 1295083814
LBN Legal business name Ennis, Bill Dean
Credentials MASSAGE THERAPIST
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 29th, 2012
Last updated Aug 29th, 2012 - about 13 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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