Ellison, Steven R

Ellison, Steven R is an individual health care provider with primary practice located at 1005 Pennsylvania Ave Suite 104, Ottumwa IA 52501-6413. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Ellison, Steven R can be contacted via phone (641) 682-4594.

Contact Information

Primary practice address
1005 Pennsylvania Ave Suite 104 Ottumwa IA 52501-6413
Phone: (641) 682-4594
Fax: (641) 682-2123
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 20730 Iowa

Profile Details

NPI number 1740267723
LBN Legal business name Ellison, Steven R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2005
Last updated May 22nd, 2012 - about 14 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 1740267723 NPPES
Iowa MEDICAID 1740267723
Iowa Other 110144445
Iowa MEDICAID 0159012
Iowa MEDICAID 1159012
Iowa MEDICAID 2159012

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