Profitt, Ellion
Profitt, Ellion is an sole proprietor health care provider with primary practice located at 5479 Memorial Dr Ste 2 , Stone Mountain GA 30083-3247. She recently has only one registered license in Other Service Providers / Prosthetics Case Management, which is considered as her primary health care specialty. Profitt, Ellion can be contacted via phone (678) 431-6352.Contact Information
Primary practice address
5479 Memorial Dr Ste 2
Stone Mountain GA 30083-3247
Phone: (678) 431-6352
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Prosthetics Case Management | 1744P3200X | CO101834 | Georgia |
Profile Details
| NPI number | 1366942047 |
|---|---|
| LBN Legal business name | Profitt, Ellion |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 19th, 2018 |
| Last updated | Feb 19th, 2018 - about 8 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 | 1366942047 | NPPES |
| Georgia | Other | CO101834 | SECRETARY OF STATE |
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