Provider Demographics
NPI:1942988894
Name:ELLIS, LINDSEY ERIN (NREMT)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:ERIN
Last Name:ELLIS
Suffix:
Gender:F
Credentials:NREMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 707
Mailing Address - Street 2:
Mailing Address - City:BIG TIMBER
Mailing Address - State:MT
Mailing Address - Zip Code:59011-0707
Mailing Address - Country:US
Mailing Address - Phone:406-930-0328
Mailing Address - Fax:
Practice Address - Street 1:407 E 7TH AVE
Practice Address - Street 2:
Practice Address - City:BIG TIMBER
Practice Address - State:MT
Practice Address - Zip Code:59011-7929
Practice Address - Country:US
Practice Address - Phone:406-930-0328
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-10
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTMED-EMT-LIC-58748146N00000X
374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic