Ellis, Jon B
Ellis, Jon B is an sole proprietor health care provider with primary practice located at 206 Princeton Rd Suite 21, Johnson City TN 37601-2058. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Ellis, Jon B can be contacted via phone (423) 282-8182.Contact Information
Primary practice address
206 Princeton Rd Suite 21
Johnson City TN 37601-2058
Phone: (423) 282-8182
Fax: (423) 283-0031
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | P1437 | Tennessee |
Profile Details
| NPI number | 1346385978 |
|---|---|
| LBN Legal business name | Ellis, Jon B |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 21st, 2007 |
| Last updated | Jul 9th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346385978 | NPPES |
| Tennessee | Other | 4019151 | BCBS NUMBER |
| Tennessee | MEDICAID | 3689850 | BCBS NUMBER |
Popular Providers
-
Neumann, Joseph Kurt
401 E Main St Suite 4, Johnson City TN 37601-4877 -
Correll, Jennifer Aileen
119 Boone Ridge Dr Suite 201, Johnson City TN 37615-4998 -
Beaudry, Heather L
1907 N Roan St Ste 207 , Johnson City TN 37601-3182 -
Stephens, Tedd A
2112 N Roan St Fl 6 , Johnson City TN 37601-2519 -
Bolling, Lanny Clarice
101 Med Tech Pkwy Ste 200 , Johnson City TN 37604-4001 -
Simpson, Mark Theodore
119 Boone Ridge Dr Suite 201, Johnson City TN 37615 -
Cook, Jerome Douglas
James H. Quillen Vamc Corner Of Sydney And Lamont St., Johnson City TN 37684 -
Lawhon, Steven R
323 W Walnut St Suite 201, Johnson City TN 37604-6760