Ellington, Bruce A
Ellington, Bruce A is an sole proprietor health care provider with primary practice located at 6506 Rawdon Stream Ln , Sugar Land TX 77479-6834. He recently has only one registered license in Transportation Services / Secured Medical Transport (VAN), which is considered as his primary health care specialty. Ellington, Bruce A can be contacted via phone (310) 422-2958.Contact Information
Primary practice address
6506 Rawdon Stream Ln
Sugar Land TX 77479-6834
Phone: (310) 422-2958
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Transportation Services / Secured Medical Transport (VAN) | 343800000X | 45552042 | Texas |
Profile Details
| NPI number | 1225784028 |
|---|---|
| LBN Legal business name | Ellington, Bruce A |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 1st, 2022 |
| Last updated | Jul 8th, 2022 - about 4 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 | 1225784028 | NPPES |
| Texas | MEDICAID | 45552042 |
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