Mary Ann Ellis is a Specialist based in Dublin, OH. Mary Ann Ellis practices in Uniontown, OH. The NPI Number for Mary Ann Ellis is 1639567688 and holds a License No. 611718 (Ohio).
The current practice location address for Mary Ann Ellis is 3570 Forest Lake Dr, Uniontown, OH and can be reached out via phone at 720-200-2825.
Location: 3570 Forest Lake Dr, Uniontown, OH, 43017-1728
Provider Profile Details
NPI Number
1639567688
Provider Name
Mary Ann Ellis
Credential
Provider Entity Type
Individual
Gender
Female
Address
3570 Forest Lake Dr, Uniontown, OH, 43017-1728
Phone Number
720-200-2825
Fax Number
Provider Enumeration Date
12/29/2014
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MAE2015 | 01 | OH | FFM UID |
| ME2015 | 01 | OH | MLN UID |
Provider Business Practice Location Address Details
Address
3570 Forest Lake Dr
City
State
Zip
44685-8105
Phone Number
720-200-2825
Fax Number
Provider Business Mailing Address Details
Address
3570 Forest Lake Dr
City
State
Zip
44685-8105
Phone Number
720-200-2825
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
611718 (Ohio)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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