Ellis, Matthew L

Ellis, Matthew L is an individual health care provider with primary practice located at 1700 Cerrillos Rd , Santa Fe NM 87505-3554. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Ellis, Matthew L can be contacted via phone (505) 946-9387.

Contact Information

Primary practice address
1700 Cerrillos Rd Santa Fe NM 87505-3554
Phone: (505) 946-9387
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 6547 New Mexico

Profile Details

NPI number 1346237641
LBN Legal business name Ellis, Matthew L
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 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.

Request for update

Popular Providers