Grant Willam Ellis

Case Manager/Care Coordinator · Pedro, OH

Individual Active NPI

NPI number 1740062819

Practice location

115 Private Road 977
Pedro, OH 45659-8608
Phone
(740) 534-1386

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NPI record

NPI
1740062819
Entity type
Individual (Type 1)
Enumeration date
October 13, 2023
Last updated
October 13, 2023
Certified
October 13, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Case Manager/Care Coordinator Primary 171M00000X — —

About Grant Ellis

Grant Willam Ellis is a healthcare provider registered in the NPI registry with the primary taxonomy Case Manager/Care Coordinator (code 171M00000X). The practice location is 115 Private Road 977, Pedro, OH 45659-8608. The NPI number 1740062819 was assigned on October 13, 2023 and the record was last updated on October 13, 2023.

Frequently asked questions

What is the NPI number of Grant Willam Ellis?

The NPI number is 1740062819.

What is the phone number of Grant Ellis?

The phone number listed for the practice location is (740) 534-1386.

Where is Grant Ellis located?

115 Private Road 977, Pedro, OH 45659-8608.

What is the taxonomy code for Grant Ellis?

The primary taxonomy code is 171M00000X – Case Manager/Care Coordinator.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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