Ellis, Milton Barry
Ellis, Milton Barry is an sole proprietor health care provider with primary practice located at 708 S South St Ste 300 , Mount Airy NC 27030-4589. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Ellis, Milton Barry can be contacted via phone (336) 838-7758.Contact Information
Primary practice address
708 S South St Ste 300
Mount Airy NC 27030-4589
Phone: (336) 838-7758
Fax: (336) 838-9790
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 38757 | North Carolina |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 38757 | North Carolina |
Profile Details
| NPI number | 1306804869 |
|---|---|
| LBN Legal business name | Ellis, Milton Barry |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 3rd, 2006 |
| Last updated | Jan 30th, 2020 - about 6 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 | 1306804869 | NPPES |
| North Carolina | Other | P00099783 | RAILROAD MEDICARE |
| North Carolina | MEDICAID | 8930638 | RAILROAD MEDICARE |
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