Ellis, Thomas W

Ellis, Thomas W is an individual health care provider with primary practice located at 5202 Miller Rd , Flint MI 48507-1040. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Ellis, Thomas W can be contacted via phone (810) 732-7700.

Contact Information

Primary practice address
5202 Miller Rd Flint MI 48507-1040
Phone: (810) 732-7700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X TE086820 Michigan

Profile Details

NPI number 1427163039
LBN Legal business name Ellis, Thomas W
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2006
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.

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