Ellis, Karen A
Ellis, Karen A is an individual health care provider with primary practice located at 501 S Buena Vista St , Burbank CA 91505-4809. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Ellis, Karen A can be contacted via phone (818) 847-4422.Contact Information
Primary practice address
501 S Buena Vista St
Burbank CA 91505-4809
Phone: (818) 847-4422
Fax: (818) 847-4429
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | G54822 | California |
Profile Details
| NPI number | 1154315604 |
|---|---|
| LBN Legal business name | Ellis, Karen A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 9th, 2005 |
| Last updated | Oct 2nd, 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 | 1154315604 | NPPES |
| California | MEDICAID | 00G548220 |
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