Ellis, Selena W

Ellis, Selena W is an sole proprietor health care provider with primary practice located at 3000 Colby St Ste 302 , Berkeley CA 94705-2058. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Ellis, Selena W can be contacted via phone (510) 644-2282.

Contact Information

Primary practice address
3000 Colby St Ste 302 Berkeley CA 94705-2058
Phone: (510) 644-2282
Fax: (510) 644-1744
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X A71337 California

Profile Details

NPI number 1265412993
LBN Legal business name Ellis, Selena W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 19th, 2006
Last updated Sep 28th, 2023 - about 3 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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