Ellis, Jean
Ellis, Jean is an sole proprietor health care provider with primary practice located at 3804 N Land Ave , Oklahoma City OK 73112-6515. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Ellis, Jean can be contacted via phone (405) 820-6156.Contact Information
Primary practice address
3804 N Land Ave
Oklahoma City OK 73112-6515
Phone: (405) 820-6156
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X |
Profile Details
| NPI number | 1770979262 |
|---|---|
| LBN Legal business name | Ellis, Jean |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 10th, 2015 |
| Last updated | Apr 10th, 2015 - 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.
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