Ellis, Charles
Ellis, Charles is an individual health care provider with primary practice located at 1675 Woodbrooke Dr , Salisbury MD 21804-8502. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Ellis, Charles can be contacted via phone (410) 749-4154.Contact Information
Primary practice address
1675 Woodbrooke Dr
Salisbury MD 21804-8502
Phone: (410) 749-4154
Fax: (410) 860-9583
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | C05576 | Maryland |
Profile Details
| NPI number | 1922403450 |
|---|---|
| LBN Legal business name | Ellis, Charles |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 27th, 2014 |
| Last updated | Oct 27th, 2014 - about 11 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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