Ellis Family Practice

LBN: Jeri L Ellis Md, Mph, Pc
Ellis Family Practice is an health care organization with primary practice located at 420 N Kickapoo Ave , Shawnee OK 74801-6643. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Ambulatory Health Care Facilities / Primary Care. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty. Jeri L Ellis Md, Mph, Pc can be contacted via phone (400) 581-6331, or through Cato, Denise via phone (405) 470-1884.

Contact Information

Primary practice address
420 N Kickapoo Ave Shawnee OK 74801-6643
Phone: (400) 581-6331
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Cato, Denise
Phone: (405) 470-1884

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1538672001
LBN Legal business name Jeri L Ellis Md, Mph, Pc
DBA Doing business as Ellis Family Practice
Authorized official Cato, Denise
Entity Organization
Organization subpart 1 No
Enumeration date Nov 7th, 2017
Last updated Nov 7th, 2017 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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