Ellerton, John Allan

Ellerton, John Allan is an individual health care provider with primary practice located at 6190 S Fort Apache Rd , Las Vegas NV 89148-6702. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Ellerton, John Allan can be contacted via phone (702) 724-8777.

Contact Information

Primary practice address
6190 S Fort Apache Rd Las Vegas NV 89148-6702
Fax: (702) 352-2790
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X G39440 California
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 3861 Nevada

Profile Details

NPI number 1962585745
LBN Legal business name Ellerton, John Allan
Credentials MD, CM
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2006
Last updated Feb 20th, 2024 - 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 1962585745 NPPES
Nevada MEDICAID 20-02623
Nevada Other 3861
Nevada Other G39440
Nevada Other 01673965
Nevada Other 0098707
Nevada Other P01062140
Nevada Other 4297063

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