Homlong, Ellen

Homlong, Ellen is an sole proprietor health care provider with primary practice located at 4641 Fulton Dr Nw , Canton OH 44718-2384. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Homlong, Ellen can be contacted via phone (330) 433-6075.

Contact Information

Primary practice address
4641 Fulton Dr Nw Canton OH 44718-2384
Phone: (330) 433-6075
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X LD4671 Ohio
Behavioral Health & Social Service Providers / Professional 101YP2500X C.1300021 Ohio

Profile Details

NPI number 1063558294
LBN Legal business name Homlong, Ellen
Credentials PC, RD,LD,CDE
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 29th, 2007
Last updated Dec 5th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1063558294 NPPES
Ohio MEDICAID 1063558294

Popular Providers