Ellis, Walter Wright

Ellis, Walter Wright is an individual health care provider with primary practice located at 3749 N Causeway Blvd , Metairie LA 70002-2046. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine, Sports Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Ellis, Walter Wright can be contacted via phone (504) 828-8241.

Contact Information

Primary practice address
3749 N Causeway Blvd Metairie LA 70002-2046
Phone: (504) 828-8241
Fax: (504) 828-8243
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine, Sports Medicine 204C00000X 024782 Louisiana
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 024782 Louisiana

Profile Details

NPI number 1174688857
LBN Legal business name Ellis, Walter Wright
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 24th, 2006
Last updated Oct 10th, 2019 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174688857 NPPES
Louisiana MEDICAID 1489417

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