Ellis, Tammy

Ellis, Tammy is an individual health care provider with primary practice located at 390 N Main St , Bountiful UT 84010-6046. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Student, Health Care / Student in an Organized Health Care Education/Training Program. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Ellis, Tammy can be contacted via phone (801) 408-8502.

Contact Information

Primary practice address
390 N Main St Bountiful UT 84010-6046
Phone: (801) 408-8502
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 9846070-3502 Utah
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1598167488
LBN Legal business name Ellis, Tammy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2014
Last updated Mar 8th, 2024 - about 2 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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