Ellis, Mark J

Ellis, Mark J is an sole proprietor health care provider with primary practice located at 1101 Jefferson Blvd , Hagerstown MD 21742-5037. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / General Care, which is considered as his primary health care specialty. Ellis, Mark J can be contacted via phone (301) 714-0200.

Contact Information

Primary practice address
1101 Jefferson Blvd Hagerstown MD 21742-5037
Phone: (301) 714-0200
Fax: (301) 739-8533
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / General Care 2278G1100X YM005079L Maryland

Profile Details

NPI number 1336204171
LBN Legal business name Ellis, Mark J
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 22nd, 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.

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