Licon, Ellie

Licon, Ellie is an individual health care provider with primary practice located at 823 Hoover Fork Rd , Harts WV 25524-5453. She recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as her primary health care specialty. Licon, Ellie can be contacted via phone (304) 855-9358.

Contact Information

Primary practice address
823 Hoover Fork Rd Harts WV 25524-5453
Phone: (304) 855-9358
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Personal Care Attendant 3747P1801X

Profile Details

NPI number 1689271884
LBN Legal business name Licon, Ellie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2020
Last updated Oct 1st, 2020 - 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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