Ellis, Adam C
Ellis, Adam C is an individual health care provider with primary practice located at 9069 S 1300 W , West Jordan UT 84088-6713. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Ellis, Adam C can be contacted via phone (801) 483-1600.Contact Information
Primary practice address
9069 S 1300 W
West Jordan UT 84088-6713
Phone: (801) 483-1600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 9405969-4408 | Utah |
Profile Details
| NPI number | 1528734118 |
|---|---|
| LBN Legal business name | Ellis, Adam C |
| Credentials | PMHNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2021 |
| Last updated | Dec 9th, 2021 - 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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