Ellis, Jeffrey Christian

Ellis, Jeffrey Christian is an individual health care provider with primary practice located at 2150 W Republic Rd Ste 112 , Springfield MO 65807-6056. 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, Jeffrey Christian can be contacted via phone (417) 986-1291.

Contact Information

Primary practice address
2150 W Republic Rd Ste 112 Springfield MO 65807-6056
Phone: (417) 986-1291
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2022006238 Missouri

Profile Details

NPI number 1033454699
LBN Legal business name Ellis, Jeffrey Christian
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2012
Last updated Feb 23rd, 2022 - about 4 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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