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Blake Michael Ellis, DO
Student in an Organized Health Care Education/Training Program in Youngstown, Ohio
NPI 1104685346

Blake Michael Ellis is a Student in an Organized Health Care Education/Training Program based in Youngstown, OH. Blake Michael Ellis practices in Youngstown, OH and has the professional credentials of DO. The NPI Number for Blake Michael Ellis is 1104685346 and holds a License No. (Ohio).

The current practice location address for Blake Michael Ellis is 1044 Belmont Ave, Youngstown, OH and can be reached out via phone at 330-480-7142. You can also correspond with Blake Michael Ellis through the mailing address at 1044 BELMONT AVE, YOUNGSTOWN, OH - 44504-1006 (mailing address contact number: ).

Location: 1044 Belmont Ave, Youngstown, OH, 44504-1006
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104685346
Provider Name
Blake Michael Ellis
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1044 Belmont Ave, Youngstown, OH, 44504-1006
Phone Number
330-480-7142
Fax Number
Provider Enumeration Date
03/18/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
1044 Belmont Ave
City
Youngstown
State
Ohio
Zip
44504-1006
Phone Number
330-480-7142
Fax Number
person
Provider Business Mailing Address Details
Address
1044 Belmont Ave
City
Youngstown
State
Ohio
Zip
44504-1006
Phone Number
330-480-7142
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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