Ellington, Christopher
Ellington, Christopher is an sole proprietor health care provider with primary practice located at 1348 Walton Way Ste 5700 , Augusta GA 30901-5110. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Ellington, Christopher can be contacted via phone (706) 722-8242.Contact Information
Primary practice address
1348 Walton Way Ste 5700
Augusta GA 30901-5110
Phone: (706) 722-8242
Fax: (706) 722-8351
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 52084 | Kentucky |
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 2008023487 | Missouri |
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 54552 | Tennessee |
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | TP975 | Kentucky |
Profile Details
NPI number | 1154579605 |
---|---|
LBN Legal business name | Ellington, Christopher |
Credentials | BMBS |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 8th, 2008 |
Last updated | Mar 8th, 2019 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1154579605 | NPPES |
Indiana | MEDICAID | 300021105 | |
Indiana | MEDICAID | Q024290 | |
Indiana | MEDICAID | 7100571670 |
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