Ellis, Corey James

Ellis, Corey James is an individual health care provider with primary practice located at 30 E Apple St Suite 2200, Dayton OH 45409-2939. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Ellis, Corey James can be contacted via phone (937) 208-2091.

Contact Information

Primary practice address
30 E Apple St Suite 2200 Dayton OH 45409-2939
Phone: (937) 208-2091
Fax: (937) 208-6141
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 35084741 Ohio
Allopathic & Osteopathic Physicians / Sports Medicine 2080S0010X 35.084741 Ohio

Profile Details

NPI number 1376509323
LBN Legal business name Ellis, Corey James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Oct 10th, 2023 - about 3 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 1376509323 NPPES
Ohio MEDICAID 2511446

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