Sibelius, Ellen Leslie

Sibelius, Ellen Leslie is an individual health care provider with primary practice located at Us Hwy 491 North , Shiprock NM 87420. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Sibelius, Ellen Leslie can be contacted via phone (505) 368-6401.

Contact Information

Primary practice address
Us Hwy 491 North Shiprock NM 87420
Fax: (505) 368-6431
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X 69065 Colorado

Profile Details

NPI number 1770574378
LBN Legal business name Sibelius, Ellen Leslie
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Jan 4th, 2008 - about 17 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 1770574378 NPPES
Arizona MEDICAID 703779
Arizona MEDICAID 80378323
Arizona MEDICAID 81271859

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