Ellis, Linda Y
Ellis, Linda Y is an individual health care provider with primary practice located at 3950 17Th St Suite A, Baker City OR 97814-1300. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Ellis, Linda Y can be contacted via phone (541) 523-1001.Contact Information
Primary practice address
3950 17Th St Suite A
Baker City OR 97814-1300
Phone: (541) 523-1001
Fax: (541) 523-1152
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 097006942N1 | Oregon |
Profile Details
| NPI number | 1841288339 |
|---|---|
| LBN Legal business name | Ellis, Linda Y |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 10th, 2005 |
| Last updated | Jul 31st, 2013 - about 13 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 | 1841288339 | NPPES |
| Other | 383852 | MEDICARE PART A | |
| MEDICAID | 276275 | MEDICARE PART A |
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