Ellis, Lora Elizabeth
Ellis, Lora Elizabeth is an individual health care provider with primary practice located at 76 Remick Blvd , Springboro OH 45066-9168. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Ellis, Lora Elizabeth can be contacted via phone (937) 885-4475.Contact Information
Primary practice address
76 Remick Blvd
Springboro OH 45066-9168
Phone: (937) 885-4475
Fax: (937) 885-3670
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 35086223 | Ohio |
Profile Details
| NPI number | 1629162458 |
|---|---|
| LBN Legal business name | Ellis, Lora Elizabeth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2006 |
| 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 | 1629162458 | NPPES |
| Ohio | MEDICAID | 2592690 |
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