Ellis, Laura

Ellis, Laura is an sole proprietor health care provider with primary practice located at 1 Masonic Way , Sullivan IL 61951. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Ellis, Laura can be contacted via phone (217) 728-4394.

Contact Information

Primary practice address
1 Masonic Way Sullivan IL 61951
Phone: (217) 728-4394
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 146005004 Illinois

Profile Details

NPI number 1497104558
LBN Legal business name Ellis, Laura
Credentials SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 9th, 2016
Last updated Jun 9th, 2016 - about 10 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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