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Leonard Ellis
Student in an Organized Health Care Education/Training Program in Waterbury, Connecticut
NPI 1386412864

Leonard Ellis is a Student in an Organized Health Care Education/Training Program based in Waterbury, CT. Leonard Ellis practices in Waterbury, CT. The NPI Number for Leonard Ellis is 1386412864 and holds a License No. (Connecticut).

The current practice location address for Leonard Ellis is 26 N Elm St, Waterbury, CT and can be reached out via phone at 203-574-9000.

Location: 26 N Elm St, Waterbury, CT, 06702-2310
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386412864
Provider Name
Leonard Ellis
Credential
Provider Entity Type
Individual
Gender
Male
Address
26 N Elm St, Waterbury, CT, 06702-2310
Phone Number
203-574-9000
Fax Number
Provider Enumeration Date
12/14/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
26 N Elm St
City
Waterbury
State
Connecticut
Zip
06702-1512
Phone Number
203-574-9000
Fax Number
person
Provider Business Mailing Address Details
Address
26 N Elm St
City
Waterbury
State
Connecticut
Zip
06702-1512
Phone Number
203-574-9000
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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