Ellis, Debra

Ellis, Debra is an individual health care provider with primary practice located at 7340 Kilborn Dr , Fair Oaks CA 95628-3336. She recently has only one registered license in Nursing Service Providers / Licensed Psychiatric Technician, which is considered as her primary health care specialty. Ellis, Debra can be contacted via phone (707) 484-2276.

Contact Information

Primary practice address
7340 Kilborn Dr Fair Oaks CA 95628-3336
Phone: (707) 484-2276
Fax: (916) 974-7851
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Psychiatric Technician 167G00000X PT18954 California

Profile Details

NPI number 1780090340
LBN Legal business name Ellis, Debra
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2014
Last updated Aug 8th, 2019 - about 7 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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