Ellison, James M

Ellison, James M is an sole proprietor health care provider with primary practice located at 501 W 14Th St Swank Memory Care Center, Gateway Bldg, 5Th Floor, Wilmington DE 19801-1013. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry. Allopathic & Osteopathic Physicians / Geriatric Psychiatry is his primary health care specialty. Ellison, James M can be contacted via phone (302) 320-2637.

Contact Information

Primary practice address
501 W 14Th St Swank Memory Care Center, Gateway Bldg, 5Th Floor Wilmington DE 19801-1013
Phone: (302) 320-2637
Fax: (844) 634-0254
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 44908 Massachusetts
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X 44908 Massachusetts
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X C-0011443 Delaware

Profile Details

NPI number 1144226630
LBN Legal business name Ellison, James M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 21st, 2005
Last updated May 25th, 2023 - about 3 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 1144226630 NPPES
Massachusetts MEDICAID 0164127

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