Leuelling, Ellyn

Leuelling, Ellyn is an sole proprietor health care provider with primary practice located at 128 Nottingham Rd , Springfield IL 62704-5334. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Leuelling, Ellyn can be contacted via phone (217) 502-8587.

Contact Information

Primary practice address
128 Nottingham Rd Springfield IL 62704-5334
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 160.006624 Illinois

Profile Details

NPI number 1780256354
LBN Legal business name Leuelling, Ellyn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 13th, 2021
Last updated Jul 13th, 2021 - about 4 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 1780256354 NPPES
Illinois Other 160.006624 ILLINOIS DEPARTMENT OF PROFESSIONAL REGULATION

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