Cordray, Ellison H
Cordray, Ellison H is an individual health care provider with primary practice located at 1800 No California Street , Stockton CA 95204-0000. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as her primary health care specialty. Cordray, Ellison H can be contacted via phone (209) 473-6555.Contact Information
Primary practice address
1800 No California Street
Stockton CA 95204-0000
Phone: (209) 473-6555
Fax: (209) 473-6544
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | G66464 | California |
Profile Details
| NPI number | 1033204490 |
|---|---|
| LBN Legal business name | Cordray, Ellison H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1033204490 | NPPES |
| California | Other | G66464 | CA MEDICAL LICENSE |
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