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Contact Information

MARY T ELLIS, CNM
6920 INDIANAPOLIS BLVD
HAMMOND, IN46324-2206
 Phone: 219-763-8112
 Fax: 219-764-3251
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
Indicates primary specialty

NPI Profile & details for MARY T ELLIS · (Female)

NPI Number 1306173786
Status Active
Credentials CNM (Certified Nurse Midwife)
Entity Individual
Enumeration date 11/05/2009
Last updated 05/27/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4704272662
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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