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Contact Information

SIMON E ELLIS JR
1311 FORT STREET
BARLING, AR72923
 Phone: 479-452-5040
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for SIMON E ELLIS JR · (Male)

NPI # 1255582235
Status Active
Credentials
Entity Individual
Enumeration date 10/08/2008
Last updated 10/08/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • AR License # 2081M
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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