Tinsley, Ellis A
Tinsley, Ellis A is an sole proprietor health care provider with primary practice located at 1717 Shipyard Blvd Ste 200 , Wilmington NC 28403-8019. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Tinsley, Ellis A can be contacted via phone (910) 769-2583.Contact Information
Primary practice address
1717 Shipyard Blvd Ste 200
Wilmington NC 28403-8019
Phone: (910) 769-2583
Fax: (910) 769-3531
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 35569 | North Carolina |
Profile Details
| NPI number | 1285614578 |
|---|---|
| LBN Legal business name | Tinsley, Ellis A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 20th, 2006 |
| Last updated | Oct 12th, 2021 - about 5 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 | 1285614578 | NPPES |
| North Carolina | MEDICAID | 8983563 |
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