Killebrew, Alyssa Ellis
Killebrew, Alyssa Ellis is an sole proprietor health care provider with primary practice located at 210 W Jackson St , Ridgeland MS 39157-2312. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Killebrew, Alyssa Ellis can be contacted via phone (601) 750-6102.Contact Information
Primary practice address
210 W Jackson St
Ridgeland MS 39157-2312
Phone: (601) 750-6102
Fax: (601) 707-7291
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 54946 | Mississippi |
Profile Details
| NPI number | 1306130125 |
|---|---|
| LBN Legal business name | Killebrew, Alyssa Ellis |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 9th, 2011 |
| Last updated | Oct 19th, 2018 - about 7 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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