Ellis, Tanya

Ellis, Tanya is an individual health care provider with primary practice located at 925 Highway Vv , Kennett MO 63857-0071. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Ellis, Tanya can be contacted via phone (573) 888-6545.

Contact Information

Primary practice address
925 Highway Vv Kennett MO 63857-0071
Phone: (573) 888-6545
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1659828242
LBN Legal business name Ellis, Tanya
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2016
Last updated Sep 1st, 2016 - about 10 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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