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
Phone: (918) 494-2553
Fax: (918) 494-2547
Website:
Health care specialties
| Specialty | Code | License # | 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 13th, 2026 - about 4 months 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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