Ellis, Elaine M
Ellis, Elaine M is an individual health care provider with primary practice located at 10210 N 92Nd St Suite 207, Scottsdale AZ 85258-4509. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities, which is considered as her primary health care specialty. Ellis, Elaine M can be contacted via phone (480) 661-1332.Contact Information
Primary practice address
10210 N 92Nd St Suite 207
Scottsdale AZ 85258-4509
Phone: (480) 661-1332
Fax: (480) 661-1364
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities | 2080P0008X | 33938 | Arizona |
Profile Details
| NPI number | 1952364150 |
|---|---|
| LBN Legal business name | Ellis, Elaine M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 10th, 2006 |
| Last updated | Aug 25th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952364150 | NPPES |
| Arizona | MEDICAID | 953142 |
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