Ellzey, Jennifer Diane
Ellzey, Jennifer Diane is an sole proprietor health care provider with primary practice located at 401 Baptist Dr Ste 301 , Madison MS 39110-2012. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Ellzey, Jennifer Diane can be contacted via phone (601) 499-0935.Contact Information
Primary practice address
401 Baptist Dr Ste 301
Madison MS 39110-2012
Phone: (601) 499-0935
Fax: (601) 499-0936
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 04-35203 | Kansas |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 32289 | Mississippi |
Profile Details
| NPI number | 1871754374 |
|---|---|
| LBN Legal business name | Ellzey, Jennifer Diane |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 18th, 2008 |
| Last updated | Jan 11th, 2024 - 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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