Ellington, Timothy

Ellington, Timothy is an individual health care provider with primary practice located at 4803 Wesley St , Greenville TX 75401-5649. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Ellington, Timothy can be contacted via phone (903) 408-7750.

Contact Information

Primary practice address
4803 Wesley St Greenville TX 75401-5649
Phone: (903) 408-7750
Fax: (903) 408-7802
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X F6603 Texas

Profile Details

NPI number 1649214586
LBN Legal business name Ellington, Timothy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Mar 30th, 2022 - about 4 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 1649214586 NPPES
Texas Other 807201 BLUE CROSS BLUE SHIELD
Texas MEDICAID 137940601 BLUE CROSS BLUE SHIELD

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