Individual
BRIAN ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
281 TOWNSHIP ROAD 1156, CHESAPEAKE, OH 45619-8014
(304) 939-6777
Mailing address
281 TOWNSHIP ROAD 1156, CHESAPEAKE, OH 45619-8014
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/09/2021
Last updated
02/09/2021
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