Ellis, Michelle

Ellis, Michelle is an individual health care provider with primary practice located at 406 N Whitney Ave Ste 5 , Cookeville TN 38501-4243. She recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as her primary health care specialty. Ellis, Michelle can be contacted via phone (931) 783-4269.

Contact Information

Primary practice address
406 N Whitney Ave Ste 5 Cookeville TN 38501-4243
Phone: (931) 783-4269
Fax: (931) 372-0401
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 4301100710 Michigan
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 67697-20 Wisconsin
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 51276 Montana
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 56534 Tennessee

Profile Details

NPI number 1194926600
LBN Legal business name Ellis, Michelle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2007
Last updated May 26th, 2022 - 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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