Individual provider · Type 1 NPI

Joseph Ellis

Student in an Organized Health Care Education/Training Program · Aston, PA

NPI number 1891196291 Active

Practice location

1 Neumann Dr
Aston, PA 19014-1277

Call (610) 459-0905 Map

Mailing address

13 Colonial Dr
Havertown, PA 19083-3204

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1891196291

Joseph Ellis's National Provider Identifier is 1891196291, issued on Sep 4, 2014. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Aston, PA. The record was last updated on Sep 4, 2014.