Ellingson, Mary T
Ellingson, Mary T is an individual health care provider with primary practice located at 2080 36Th Ave Sw Ste 110 , Minot ND 58701-7597. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Ellingson, Mary T can be contacted via phone (701) 222-3175.Contact Information
Primary practice address
2080 36Th Ave Sw Ste 110
Minot ND 58701-7597
Phone: (701) 222-3175
Fax: (701) 222-3186
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 1959 | North Dakota |
Profile Details
| NPI number | 1518539220 |
|---|---|
| LBN Legal business name | Ellingson, Mary T |
| Credentials | MS, SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2021 |
| Last updated | Mar 29th, 2022 - 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 | 1518539220 | NPPES |
| North Dakota | MEDICAID | 1483043 |
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