Ellender, William J

Ellender, William J is an sole proprietor health care provider with primary practice located at 7835 Park Ave , Houma LA 70364-3112. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Sports Physician, Chiropractic Providers / Orthopedic. Chiropractic Providers / Sports Physician is his primary health care specialty. Ellender, William J can be contacted via phone (985) 851-0104.

Contact Information

Primary practice address
7835 Park Ave Houma LA 70364-3112
Phone: (985) 851-0104
Fax: (985) 872-4639
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X 465 Louisiana
Chiropractic Providers / Orthopedic 111NX0800X 465 Louisiana

Profile Details

NPI number 1235208547
LBN Legal business name Ellender, William J
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 8th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235208547 NPPES
Louisiana MEDICAID 1953318

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