Ello, Glenn N.
Ello, Glenn N. is an sole proprietor health care provider with primary practice located at 4309 W 27Th Pl Suite 301, Kennewick WA 99338-2904. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Ello, Glenn N. can be contacted via phone (509) 222-2231.Contact Information
Primary practice address
4309 W 27Th Pl Suite 301
Kennewick WA 99338-2904
Phone: (509) 222-2231
Fax: (509) 222-2232
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD00043998 | Washington |
Profile Details
| NPI number | 1235182841 |
|---|---|
| LBN Legal business name | Ello, Glenn N. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 18th, 2006 |
| Last updated | Jul 12th, 2010 - about 16 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 | 1235182841 | NPPES |
| Washington | MEDICAID | 8402364 |
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