Ellis, Geri Ann
Ellis, Geri Ann is an individual health care provider with primary practice located at 326 E Main St , West Frankfort IL 62896-2402. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Ellis, Geri Ann can be contacted via phone (618) 847-0683.Contact Information
Primary practice address
326 E Main St
West Frankfort IL 62896-2402
Phone: (618) 847-0683
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 096.004528 | Illinois |
Profile Details
| NPI number | 1578075784 |
|---|---|
| LBN Legal business name | Ellis, Geri Ann |
| Credentials | Athletic Trainer, Certified (ATC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 27th, 2017 |
| Last updated | Oct 27th, 2017 - about 9 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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