Charles, Ellis Timothy

Charles, Ellis Timothy is an sole proprietor health care provider with primary practice located at 511 Gladstone St 511 Gladstone Street, Sheridan WY 82801-4830. He recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as his primary health care specialty. Charles, Ellis Timothy can be contacted via phone (307) 752-9082.

Contact Information

Primary practice address
511 Gladstone St 511 Gladstone Street Sheridan WY 82801-4830
Phone: (307) 752-9082
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X Wyoming

Profile Details

NPI number 1871029314
LBN Legal business name Charles, Ellis Timothy
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 3rd, 2017
Last updated May 3rd, 2017 - about 9 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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