Ellie, John
Ellie, John is an sole proprietor health care provider with primary practice located at 338 Harris Hill Rd Suite 207, Williamsville NY 14221-7470. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Ellie, John can be contacted via phone (716) 634-4798.Contact Information
Primary practice address
338 Harris Hill Rd Suite 207
Williamsville NY 14221-7470
Phone: (716) 634-4798
Fax: (716) 634-0987
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 142491-1 | New York |
Profile Details
| NPI number | 1023026069 |
|---|---|
| LBN Legal business name | Ellie, John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 4th, 2006 |
| Last updated | Jun 29th, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023026069 | NPPES |
| New York | MEDICAID | 00808080 |
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