Kelli J Ellerbrock
Individual provider Active NPI Case Manager/Care Coordinator · Van Wert, OH
NPI 1780244467 · NPPES record last updated Jun 16, 2019
Key facts
- NPI
- 1780244467
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 1158 Westwood Dr
Van Wert, OH 45891-2449 - Phone
- (419) 238-3434
- NPI assigned
- Jun 16, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
1158 Westwood Dr
Van Wert, OH 45891-2449
Mailing address
1158 Westwood Dr
Van Wert, OH 45891-2449
Other providers in Van Wert, OH
- Betty Dunno
- Beth Dye
- Derek Leonard Ebbeskotte
- Gail Marie Eibling
- Sherry Ann Eibling
- Candice M Elliott
- Madison Ellis
- Ashley Elston
- Abbie Diane Evans
- Tori Nicole Evers
All providers in Van Wert, OH · Case Manager/Care Coordinator in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.