Ellis, Katherine

Ellis, Katherine is an individual health care provider with primary practice located at 2016 1St Ave , Summerville SC 29486-0408. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Ellis, Katherine can be contacted via phone (843) 432-3109.

Contact Information

Primary practice address
2016 1St Ave Summerville SC 29486-0408
Phone: (843) 432-3109
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 22035 South Carolina

Profile Details

NPI number 1043706393
LBN Legal business name Ellis, Katherine
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2018
Last updated Jul 10th, 2018 - about 8 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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