Ellison, Jeffrey Donald

Ellison, Jeffrey Donald is an individual health care provider with primary practice located at 113 Comanche Rd , Fort Meade SD 57741-1002. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Ellison, Jeffrey Donald can be contacted via phone (605) 347-2511.

Contact Information

Primary practice address
113 Comanche Rd Fort Meade SD 57741-1002
Phone: (605) 347-2511
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 492 South Dakota

Profile Details

NPI number 1679864128
LBN Legal business name Ellison, Jeffrey Donald
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2011
Last updated Mar 24th, 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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