| Christine Ellis, Llc | |
|
5000 S Minnesota Ave Suite 200 Sioux Falls SD 57108-2707 | |
| (605) 271-1348 | |
| Not Available |
| Full Name | Christine Ellis, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 5000 S Minnesota Ave, Sioux Falls, South Dakota |
| Authorized Official Name and Position | Christine Elizabeth Ellis (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 6052711348 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christine Ellis, Llc 5000 S Minnesota Ave Suite 200 Sioux Falls SD 57108-2707 Ph: (605) 271-1348 | Christine Ellis, Llc 5000 S Minnesota Ave Suite 200 Sioux Falls SD 57108-2707 Ph: (605) 271-1348 |
| NPI Number | 1962608570 |
|---|---|
| Provider Enumeration Date | 06/21/2007 |
| Last Update Date | 07/01/2011 |
| Medicare PECOS PAC ID | 6507954658 |
|---|---|
| Medicare Enrollment ID | O20071127000032 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962608570 | NPI | - | NPPES |
| Provider Name | Christine E Ellis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639396609 PECOS PAC ID: 9436247418 Enrollment ID: I20071109000146 |
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