Michael R Ellen Md Ps

LBN: Michael R Ellen Md Ps
Michael R Ellen Md Ps is an health care organization with primary practice located at 128 Lilly Rd Ne Suite 205, Olympia WA 98506-5029. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as the primary health care specialty. Michael R Ellen Md Ps can be contacted via phone (360) 754-3380, or through Ellen, Michael R via phone (360) 754-3380.

Contact Information

Primary practice address
128 Lilly Rd Ne Suite 205 Olympia WA 98506-5029
Phone: (360) 754-3380
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ellen, Michael R Doctor of Medicine (MD)
Phone: (360) 754-3380

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X MD00026526 Washington

Profile Details

NPI number 1174637599
LBN Legal business name Michael R Ellen Md Ps
DBA Doing business as
Authorized official Ellen, Michael R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 19th, 2006
Last updated Aug 22nd, 2020 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1174637599 NPPES
Washington MEDICAID 1105360

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