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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316088669 | NPPES |
| Pennsylvania | Other | 72728 | FIRST PRIORITY HEALTH INS |
| Pennsylvania | MEDICAID | 00998678 | FIRST PRIORITY HEALTH INS |
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