Klatt-Ellis, Toni

Klatt-Ellis, Toni is an individual health care provider with primary practice located at 600 East Blvd , Elkhart IN 46514-2483. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Oncology, which is considered as her primary health care specialty. Klatt-Ellis, Toni can be contacted via phone (574) 523-3112.

Contact Information

Primary practice address
600 East Blvd Elkhart IN 46514-2483
Phone: (574) 523-3112
Fax: (574) 523-7885
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Oncology 364SX0200X 70000010A Indiana

Profile Details

NPI number 1356346233
LBN Legal business name Klatt-Ellis, Toni
Credentials Clinical Nurse Specialist (CNS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Nov 21st, 2011 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1356346233 NPPES
Indiana MEDICAID 200258130A
Indiana Other 000000725198

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