Ellis, Gregory Carl
Ellis, Gregory Carl is an individual health care provider with primary practice located at 1224 Eastchester Dr , High Point NC 27265-3116. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Ellis, Gregory Carl can be contacted via phone (336) 481-1830.Contact Information
Primary practice address
1224 Eastchester Dr
High Point NC 27265-3116
Phone: (336) 481-1830
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 35118 | North Carolina |
Profile Details
| NPI number | 1043257231 |
|---|---|
| LBN Legal business name | Ellis, Gregory Carl |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2006 |
| Last updated | Feb 1st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043257231 | NPPES |
| North Carolina | MEDICAID | 8930633 |
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