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Contact Information

DRAYA K ELLIS, CCHW
408 9TH STREET SW
CANTON, OH44707
 Phone: 330-639-7396
 Fax: 330-437-3715
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community Health Worker

172V00000X
Indicates primary specialty

NPI Profile & details for DRAYA K ELLIS · (Female)

NPI # 1215467311
Status Active
Credentials CCHW
Entity Individual
Enumeration date 06/13/2017
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • OH License # CHW000729
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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