Ellen, Mark I

Ellen, Mark I is an sole proprietor health care provider with primary practice located at 2108 Alexander Cir Ne , Atlanta GA 30326-1246. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Ellen, Mark I can be contacted via phone (214) 952-3501.

Contact Information

Primary practice address
2108 Alexander Cir Ne Atlanta GA 30326-1246
Phone: (214) 952-3501
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 25MA06361300 New Jersey
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X MD051555L Pennsylvania
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 2005-01826 North Carolina
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X G71376 California
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X ME145025 Florida
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X ME145025 Florida
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 50578 Georgia

Profile Details

NPI number 1720181951
LBN Legal business name Ellen, Mark I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 6th, 2006
Last updated May 18th, 2020 - 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.

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