Ellis, Kristen

Ellis, Kristen is an sole proprietor health care provider with primary practice located at 2121 Baypointe Dr , Newport Beach CA 92660-8518. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Ellis, Kristen can be contacted via phone (585) 313-2952.

Contact Information

Primary practice address
2121 Baypointe Dr Newport Beach CA 92660-8518
Phone: (585) 313-2952
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X AMFT135522 California
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 135522 California
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X California

Profile Details

NPI number 1104310036
LBN Legal business name Ellis, Kristen
Credentials RDN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 14th, 2018
Last updated Oct 27th, 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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