Ellis, John H

Ellis, John H is an individual health care provider with primary practice located at 667 N River St Suite 201, Plains PA 18705-1013. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Ellis, John H can be contacted via phone (570) 823-1111.

Contact Information

Primary practice address
667 N River St Suite 201 Plains PA 18705-1013
Phone: (570) 823-1111
Fax: (570) 824-9044
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD024759E Pennsylvania

Profile Details

NPI number 1316088669
LBN Legal business name Ellis, John H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2007
Last updated Jul 8th, 2007 - about 19 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 1316088669 NPPES
Pennsylvania Other 72728 FIRST PRIORITY HEALTH INS
Pennsylvania MEDICAID 00998678 FIRST PRIORITY HEALTH INS

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