Ellis, Noelle

Ellis, Noelle is an individual health care provider with primary practice located at 13980 Northdale Blvd , Rogers MN 55374-2147. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Ellis, Noelle can be contacted via phone (763) 428-1920.

Contact Information

Primary practice address
13980 Northdale Blvd Rogers MN 55374-2147
Phone: (763) 428-1920
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Minnesota
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 113046 Minnesota

Profile Details

NPI number 1376805770
LBN Legal business name Ellis, Noelle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2012
Last updated Jul 21st, 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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