Jack, Randall Ellis

Jack, Randall Ellis is an individual health care provider with primary practice located at 635 Innovation Dr Ste 300 , Reno NV 89511-2215. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as his primary health care specialty. Jack, Randall Ellis can be contacted via phone (775) 329-6241.

Contact Information

Primary practice address
635 Innovation Dr Ste 300 Reno NV 89511-2215
Phone: (775) 329-6241
Fax: (775) 329-4921
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 13040 Nevada

Profile Details

NPI number 1922044437
LBN Legal business name Jack, Randall Ellis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Apr 12th, 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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