Ellis, Wladislaw V

Ellis, Wladislaw V is an sole proprietor health care provider with primary practice located at 13847 Mallory Ct , Grass Valley CA 95949. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Pain Medicine, which is considered as his primary health care specialty. Ellis, Wladislaw V can be contacted via phone (510) 849-4703.

Contact Information

Primary practice address
13847 Mallory Ct Grass Valley CA 95949
Phone: (510) 849-4703
Fax: (530) 477-6092
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X A24351 California

Profile Details

NPI number 1992702039
LBN Legal business name Ellis, Wladislaw V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 5th, 2005
Last updated Nov 16th, 2018 - about 8 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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