Ellman, Marc

Ellman, Marc is an individual health care provider with primary practice located at 1400 Common Dr , El Paso TX 79936-5922. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Ellman, Marc can be contacted via phone (915) 595-4375.

Contact Information

Primary practice address
1400 Common Dr El Paso TX 79936-5922
Phone: (915) 595-4375
Fax: (915) 595-4460
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD2004-0199 New Mexico
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X L8680 Texas

Profile Details

NPI number 1780635268
LBN Legal business name Ellman, Marc
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Apr 7th, 2023 - about 2 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 1780635268 NPPES
New Mexico MEDICAID 17702003
New Mexico MEDICAID 168080301

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