Ennis, Christopher Blake
Ennis, Christopher Blake is an individual health care provider with primary practice located at 777 Hemlock St , Macon GA 31201-2102. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as his primary health care specialty. Ennis, Christopher Blake can be contacted via phone (478) 633-6272.Contact Information
Primary practice address
777 Hemlock St
Macon GA 31201-2102
Phone: (478) 633-6272
Fax: (478) 633-6269
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | RN201532 | Georgia |
Profile Details
NPI number | 1740739853 |
---|---|
LBN Legal business name | Ennis, Christopher Blake |
Credentials | ACNPC-AG |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 30th, 2016 |
Last updated | Sep 20th, 2023 - about last year |
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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