Eid, Ellis Alan

Eid, Ellis Alan is an sole proprietor health care provider with primary practice located at Uss George Washington Cvn 73, Fpo AE 09550-2873. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Other Service Providers / Independent Duty Corpsman. Other Service Providers / Independent Duty Corpsman is his primary health care specialty. Eid, Ellis Alan can be contacted via phone (757) 534-3448.

Contact Information

Primary practice address
Uss George Washington Cvn 73 Fpo AE 09550-2873
Phone: (757) 534-3448
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1104544089
LBN Legal business name Eid, Ellis Alan
Credentials IDC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 17th, 2022
Last updated Feb 14th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1104544089 NPPES
Other 1122592096 DODID

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