Ellis, Susie

Ellis, Susie is an sole proprietor health care provider with primary practice located at 9540 W Dorsetshire Pl , Boise ID 83704-2229. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Ellis, Susie can be contacted via phone (208) 284-0200.

Contact Information

Primary practice address
9540 W Dorsetshire Pl Boise ID 83704-2229
Phone: (208) 284-0200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X MID-54 Idaho

Profile Details

NPI number 1942620653
LBN Legal business name Ellis, Susie
Credentials CPM, LM
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 21st, 2014
Last updated Apr 21st, 2014 - about 12 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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