Ellis, Mark Andrew
Ellis, Mark Andrew is an individual health care provider with primary practice located at 901 Riverfront Pkwy Ste 300 , Chattanooga TN 37402-2198. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Ellis, Mark Andrew can be contacted via phone (423) 698-8981.Contact Information
Primary practice address
901 Riverfront Pkwy Ste 300
Chattanooga TN 37402-2198
Phone: (423) 698-8981
Fax: (423) 697-7109
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | MMD.39505 LL | South Carolina |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 63144 | Tennessee |
Profile Details
| NPI number | 1629427752 |
|---|---|
| LBN Legal business name | Ellis, Mark Andrew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2016 |
| Last updated | Jun 11th, 2021 - about 4 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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