Ellam, Matthew

Ellam, Matthew is an individual health care provider with primary practice located at 1330 Beacon St Ste 202 , Brookline MA 02446-3202. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Ellam, Matthew can be contacted via phone (617) 354-4450.

Contact Information

Primary practice address
1330 Beacon St Ste 202 Brookline MA 02446-3202
Phone: (617) 354-4450
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X RN2295977 Massachusetts
Nursing Service Providers / Registered Nurse 163W00000X RN2295977 Massachusetts

Profile Details

NPI number 1083006696
LBN Legal business name Ellam, Matthew
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 19th, 2015
Last updated Mar 5th, 2021 - about 3 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.

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