Ellis, Ashley

Ellis, Ashley is an sole proprietor health care provider with primary practice located at 237 26Th St , Ogden UT 84401-3105. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Ellis, Ashley can be contacted via phone (801) 625-3700.

Contact Information

Primary practice address
237 26Th St Ogden UT 84401-3105
Phone: (801) 625-3700
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 177972122 Utah
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1033595400
LBN Legal business name Ellis, Ashley
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 7th, 2015
Last updated Feb 2nd, 2023 - about 3 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 1033595400 NPPES
Utah MEDICAID 876000308007
Utah Other 260022408

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