Ellie, John

Ellie, John is an sole proprietor health care provider with primary practice located at 1500 Portland Ave Podiatry Suite, Rochester NY 14621-3065. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Ellie, John can be contacted via phone (585) 642-6100.

Contact Information

Primary practice address
1500 Portland Ave Podiatry Suite Rochester NY 14621-3065
Phone: (585) 642-6100
Fax: (585) 642-6111
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 006649 New York

Profile Details

NPI number 1427311455
LBN Legal business name Ellie, John
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 25th, 2012
Last updated Mar 17th, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1427311455 NPPES
New York MEDICAID 05448155
New York MEDICAID 04203352

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