Ellis, Brian Thomas
Ellis, Brian Thomas is an individual health care provider with primary practice located at 500 E Robinson St Ste 2600, Norman OK 73071-6697. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Ellis, Brian Thomas can be contacted via phone (405) 364-6432.Contact Information
Primary practice address
500 E Robinson St Ste 2600
Norman OK 73071-6697
Phone: (405) 364-6432
Fax: (405) 364-0090
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 26325 | Oklahoma |
Profile Details
| NPI number | 1700046273 |
|---|---|
| LBN Legal business name | Ellis, Brian Thomas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2008 |
| Last updated | Dec 6th, 2012 - about 13 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 | 1700046273 | NPPES |
| Oklahoma | MEDICAID | 200244680A |
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