Ellis, John W

Ellis, John W is an individual health care provider with primary practice located at 525 Western Ave Ste 201, Conway AR 72034-4967. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Ellis, John W can be contacted via phone (501) 327-6665.

Contact Information

Primary practice address
525 Western Ave Ste 201 Conway AR 72034-4967
Phone: (501) 327-6665
Fax: (501) 730-0289
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X C01093 Arkansas

Profile Details

NPI number 1669469128
LBN Legal business name Ellis, John W
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2005
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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