Ellis, Anthony Reed

Ellis, Anthony Reed is an individual health care provider with primary practice located at 420 W 5Th Ave , Flint MI 48503-2445. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Ellis, Anthony Reed can be contacted via phone (810) 257-3724.

Contact Information

Primary practice address
420 W 5Th Ave Flint MI 48503-2445
Phone: (810) 257-3724
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 4301063866 Michigan

Profile Details

NPI number 1497805014
LBN Legal business name Ellis, Anthony Reed
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2007
Last updated Mar 14th, 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 1497805014 NPPES
Michigan MEDICAID 4327359

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