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Ellis Travers, CCHW
NPI 1033937149 · on the registry since 2024 · sole proprietor
Practice
- Address
- 1348 Bainbridge St
Philadelphia, PA 19147 - Phone
- (215) 563-0658
- Fax
- (877) 316-4122
- Organisation at this address
- Mazzoni Center
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 29
Registry record
- Primary taxonomy
- Community Health Worker
172V00000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-09-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania