Ellis, Patrick M
Ellis, Patrick M is an sole proprietor health care provider with primary practice located at 6107 Crawley Creek Rd. , Chapmanville WV 25508. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Ellis, Patrick M can be contacted via phone (304) 855-9500.Contact Information
Primary practice address
6107 Crawley Creek Rd.
Chapmanville WV 25508
Phone: (304) 855-9500
Fax: (304) 855-9525
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 002118 | West Virginia |
Profile Details
| NPI number | 1114028214 |
|---|---|
| LBN Legal business name | Ellis, Patrick M |
| Credentials | MSPT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 25th, 2006 |
| Last updated | Jul 24th, 2008 - about 18 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 | 1114028214 | NPPES |
| West Virginia | MEDICAID | 7302394-000 |
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