Ellis, Brian
Ellis, Brian is an individual health care provider with primary practice located at 1 Stadium Drive , Morgantown WV 26506. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Ellis, Brian can be contacted via phone (304) 598-4820.Contact Information
Primary practice address
1 Stadium Drive
Morgantown WV 26506
Phone: (304) 598-4820
Fax: (304) 598-4892
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 17772 | West Virginia |
Profile Details
| NPI number | 1457328460 |
|---|---|
| LBN Legal business name | Ellis, Brian |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2006 |
| Last updated | Apr 12th, 2022 - about 3 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 | 1457328460 | NPPES |
| West Virginia | MEDICAID | 0095920000 |
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