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
Phone: (217) 502-8587
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1780256354 | NPPES |
Illinois | Other | 160.006624 | ILLINOIS DEPARTMENT OF PROFESSIONAL REGULATION |
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