Ellison, Carrol Wendall
Ellison, Carrol Wendall is an sole proprietor health care provider with primary practice located at 500 East Parker Rd , Morganton NC 28655. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Ellison, Carrol Wendall can be contacted via phone (828) 433-5700.Contact Information
Primary practice address
500 East Parker Rd
Morganton NC 28655
Phone: (828) 433-5700
Fax: (828) 433-5702
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 19994 | North Carolina |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 19994 | North Carolina |
Profile Details
| NPI number | 1912903774 |
|---|---|
| LBN Legal business name | Ellison, Carrol Wendall |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 24th, 2005 |
| Last updated | Mar 17th, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912903774 | NPPES |
| North Carolina | MEDICAID | 8930648 |
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