Ellis, John C
Ellis, John C is an individual health care provider with primary practice located at 4880 Ne Goodview Circle , Lees Summit MO 64064. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Ellis, John C can be contacted via phone (816) 478-4200.Contact Information
Primary practice address
4880 Ne Goodview Circle
Lees Summit MO 64064
Phone: (816) 478-4200
Fax: (816) 478-0507
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | R8E78 | Missouri |
Profile Details
| NPI number | 1477527877 |
|---|---|
| LBN Legal business name | Ellis, John C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 14th, 2006 |
| Last updated | Mar 7th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477527877 | NPPES |
| Missouri | Other | 4001449 | AETNA |
| Missouri | Other | 11540041 | AETNA |
| Missouri | Other | 1008021 | AETNA |
| Missouri | Other | 9852 | AETNA |
| Missouri | Other | 204510882 | AETNA |
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