Ellison, Wesley
Ellison, Wesley is an individual health care provider with primary practice located at 3502 Franklin Ave , Bismarck ND 58503-0761. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology, which is considered as his primary health care specialty. Ellison, Wesley can be contacted via phone (701) 222-2480.Contact Information
Primary practice address
3502 Franklin Ave
Bismarck ND 58503-0761
Phone: (701) 222-2480
Fax: (701) 222-4537
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X | 8189 | North Dakota |
Profile Details
| NPI number | 1740391044 |
|---|---|
| LBN Legal business name | Ellison, Wesley |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Dec 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740391044 | NPPES |
| North Dakota | Other | 17894 | BLUE SHIELD |
| North Dakota | MEDICAID | 11227 | BLUE SHIELD |
| North Dakota | Other | CO4118 | BLUE SHIELD |
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