Ellis, Bryan
Ellis, Bryan is an individual health care provider with primary practice located at 680 E Main St Ste 201 , Lehi UT 84043-2251. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Ellis, Bryan can be contacted via phone (801) 768-8800.Contact Information
Primary practice address
680 E Main St Ste 201
Lehi UT 84043-2251
Phone: (801) 768-8800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 12537569-1206 | Utah |
Profile Details
| NPI number | 1174288575 |
|---|---|
| LBN Legal business name | Ellis, Bryan |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2021 |
| Last updated | Feb 10th, 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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