Ellis, William Dewitt

Ellis, William Dewitt is an individual health care provider with primary practice located at 1302 Lexington Ave , Thomasville NC 27360-3419. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Ellis, William Dewitt can be contacted via phone (336) 475-6139.

Contact Information

Primary practice address
1302 Lexington Ave Thomasville NC 27360-3419
Phone: (336) 475-6139
Fax: (336) 475-3331
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 9401179 North Carolina

Profile Details

NPI number 1215999677
LBN Legal business name Ellis, William Dewitt
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2006
Last updated Feb 6th, 2014 - about 12 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 1215999677 NPPES
North Carolina MEDICAID 8930591

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