Ellwood, Joseph Edward
Ellwood, Joseph Edward is an individual health care provider with primary practice located at 201 E Laurel Blvd , Pottsville PA 17901-2534. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Ellwood, Joseph Edward can be contacted via phone (570) 628-4444.Contact Information
Primary practice address
201 E Laurel Blvd
Pottsville PA 17901-2534
Phone: (570) 628-4444
Fax: (570) 628-3088
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OEG002764 | Pennsylvania |
Profile Details
| NPI number | 1427496256 |
|---|---|
| LBN Legal business name | Ellwood, Joseph Edward |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2013 |
| Last updated | Jul 5th, 2019 - about 7 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 | 1427496256 | NPPES |
| Pennsylvania | MEDICAID | 102838030 |
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