Ellis, Jennifer Danielle
Ellis, Jennifer Danielle is an individual health care provider with primary practice located at 5510 Nathan Shock Dr , Baltimore MD 21224-6823. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ellis, Jennifer Danielle can be contacted via phone (410) 550-6346.Contact Information
Primary practice address
5510 Nathan Shock Dr
Baltimore MD 21224-6823
Phone: (410) 550-6346
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 06673 | Maryland |
Profile Details
| NPI number | 1043925654 |
|---|---|
| LBN Legal business name | Ellis, Jennifer Danielle |
| Credentials | PH.D |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 18th, 2023 |
| Last updated | Apr 7th, 2023 - about last year |
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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