Ellison, Robert G

Ellison, Robert G is an individual health care provider with primary practice located at 400 Bald Hill Rd Ste 520, Warwick RI 02886-1692. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Ellison, Robert G can be contacted via phone (401) 793-8520.

Contact Information

Primary practice address
400 Bald Hill Rd Ste 520 Warwick RI 02886-1692
Phone: (401) 793-8520
Fax: (401) 793-8527
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD04969 Rhode Island

Profile Details

NPI number 1083610836
LBN Legal business name Ellison, Robert G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated Sep 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083610836 NPPES
Rhode Island MEDICAID RE04322
Rhode Island MEDICAID 2071151

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