Ellis, Keenya

Ellis, Keenya is an sole proprietor health care provider with primary practice located at 9618 Jack Russell Ct , Charlotte NC 28269-5207. She recently has only one registered license in Suppliers / Customized Equipment, which is considered as her primary health care specialty. Ellis, Keenya can be contacted via phone (347) 224-4746.

Contact Information

Primary practice address
9618 Jack Russell Ct Charlotte NC 28269-5207
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Customized Equipment 332BC3200X

Profile Details

NPI number 1245824184
LBN Legal business name Ellis, Keenya
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 22nd, 2021
Last updated Feb 22nd, 2021 - about 5 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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