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:
Health care specialties
| Specialty | Code | License # | 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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