Gallup, Ellen Ann
Gallup, Ellen Ann is an sole proprietor health care provider with primary practice located at 4389 Orangedale Rd , Chagrin Falls OH 44022-1438. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Gallup, Ellen Ann can be contacted via phone (216) 470-2769.Contact Information
Primary practice address
4389 Orangedale Rd
Chagrin Falls OH 44022-1438
Phone: (216) 470-2769
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Home Health Aide | 374U00000X |
Profile Details
| NPI number | 1154909935 |
|---|---|
| LBN Legal business name | Gallup, Ellen Ann |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 1st, 2021 |
| Last updated | Apr 1st, 2021 - about 5 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 | 1154909935 | NPPES |
| Ohio | Other | 1831516 | OHIO DODD CONTRACT NUMBER |
| Ohio | MEDICAID | 0383335 | OHIO DODD CONTRACT NUMBER |
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