Ellis, Blakely
Ellis, Blakely is an individual health care provider with primary practice located at 1600 7Th Ave S , Birmingham AL 35233-1711. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Ellis, Blakely can be contacted via phone (205) 638-2346.Contact Information
Primary practice address
1600 7Th Ave S
Birmingham AL 35233-1711
Phone: (205) 638-2346
Fax: (205) 638-5122
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 1098A | Alabama |
Profile Details
| NPI number | 1730506346 |
|---|---|
| LBN Legal business name | Ellis, Blakely |
| Credentials | AUD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 20th, 2014 |
| Last updated | Mar 20th, 2014 - about 11 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 | 1730506346 | NPPES |
| Alabama | Other | 1098A | ABESPA |
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