Ellis, Alencia C

Ellis, Alencia C is an individual health care provider with primary practice located at 8770 Elton C Harrison Drive , Baton Rouge LA 70813-3743. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Ellis, Alencia C can be contacted via phone (225) 771-4770.

Contact Information

Primary practice address
8770 Elton C Harrison Drive Baton Rouge LA 70813-3743
Phone: (225) 771-4770
Fax: (225) 771-6225
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA.200069 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1407893654
LBN Legal business name Ellis, Alencia C
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Jan 30th, 2024 - about 2 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 1407893654 NPPES
Louisiana MEDICAID 1099210

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