Ellis, Howard Ross

Ellis, Howard Ross is an individual health care provider with primary practice located at 665 Duluth Hwy Ste 920 , Lawrenceville GA 30046. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Ellis, Howard Ross can be contacted via phone (678) 312-5250.

Contact Information

Primary practice address
665 Duluth Hwy Ste 920 Lawrenceville GA 30046
Phone: (678) 312-5250
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 50159 Georgia

Profile Details

NPI number 1013063445
LBN Legal business name Ellis, Howard Ross
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2007
Last updated Feb 26th, 2021 - about 5 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 1013063445 NPPES
Georgia MEDICAID 000908432A

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