Ellison, Richard L
Ellison, Richard L is an individual health care provider with primary practice located at 4005 Orchard Dr , Midland MI 48670-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Ellison, Richard L can be contacted via phone (989) 839-3606.Contact Information
Primary practice address
4005 Orchard Dr
Midland MI 48670-0001
Phone: (989) 839-3606
Fax: (989) 839-1509
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 4301044712 | Michigan |
Profile Details
| NPI number | 1053336107 |
|---|---|
| LBN Legal business name | Ellison, Richard L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1053336107 | NPPES |
| Michigan | Other | 7619024 | AETNA |
Popular Providers
-
Rogg, Schuyler Andrew
555 W Wackerly St Ste 3625 , Midland MI 48640-4715 -
Demarino, John W
1901 Tate Springs Rd , Lynchburg VA 24501-1109 -
Rivera, Juanita M
4005 Orchard Dr , Midland MI 48670-0001 -
Tsyganov, Igor V
2401 Bay Ave , Ocean City NJ 08226-2456 -
Bedell, Wayne E
4005 Orchard Dr , Midland MI 48670-0001 -
Fisher, Garrett Brant
4000 Wellness Dr , Midland MI 48670-2819 -
Kleynberg, Greg M
4000 Wellness Dr , Midland MI 48670-2000 -
Wagner, Dennis A
4005 Orchard Dr , Midland MI 48670-0001