Ellis, Ryan Michael
Ellis, Ryan Michael is an individual health care provider with primary practice located at 36485 Inland Valley Dr , Wildomar CA 92595-9681. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Ellis, Ryan Michael can be contacted via phone (951) 566-5610.Contact Information
Primary practice address
36485 Inland Valley Dr
Wildomar CA 92595-9681
Phone: (951) 566-5610
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA21959 | California |
Profile Details
| NPI number | 1528336146 |
|---|---|
| LBN Legal business name | Ellis, Ryan Michael |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 9th, 2011 |
| Last updated | Nov 29th, 2021 - about 5 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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