Loan, Ellen W.

Loan, Ellen W. is an individual health care provider with primary practice located at 1837 Nebraska Ave , Grants Pass OR 97527-5701. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Loan, Ellen W. can be contacted via phone (541) 292-4217.

Contact Information

Primary practice address
1837 Nebraska Ave Grants Pass OR 97527-5701
Phone: (541) 292-4217
Fax: (855) 840-8203
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT60685784 Washington
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2606 Arkansas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 63340 Oregon

Profile Details

NPI number 1912981572
LBN Legal business name Loan, Ellen W.
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2005
Last updated Oct 21st, 2020 - about 5 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 1912981572 NPPES
Arkansas MEDICAID 146698721

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