Ellison, Carl

Ellison, Carl is an individual health care provider with primary practice located at 6161 S Yale Ave Chucc, Tulsa OK 74136-1902. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Ellison, Carl can be contacted via phone (918) 494-2553.

Contact Information

Primary practice address
6161 S Yale Ave Chucc Tulsa OK 74136-1902
Fax: (918) 494-2547

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 16061 Oklahoma

Profile Details

NPI number 1073500971
LBN Legal business name Ellison, Carl
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2005
Last updated Jul 8th, 2007 - about 15 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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