Ellie, John

Ellie, John is an sole proprietor health care provider with primary practice located at 338 Harris Hill Rd Suite 207, Williamsville NY 14221-7470. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Ellie, John can be contacted via phone (716) 634-4798.

Contact Information

Primary practice address
338 Harris Hill Rd Suite 207 Williamsville NY 14221-7470
Phone: (716) 634-4798
Fax: (716) 634-0987
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 142491-1 New York

Profile Details

NPI number 1023026069
LBN Legal business name Ellie, John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 4th, 2006
Last updated Jun 29th, 2010 - about 16 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 1023026069 NPPES
New York MEDICAID 00808080

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