Ellis, Brigid Kathleen
Ellis, Brigid Kathleen is an individual health care provider with primary practice located at 1030 Reed Avenue Suite 114, Wyomissing PA 19610-2029. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is her primary health care specialty. Ellis, Brigid Kathleen can be contacted via phone (610) 376-7365.Contact Information
Primary practice address
1030 Reed Avenue Suite 114
Wyomissing PA 19610-2029
Phone: (610) 376-7365
Fax: (610) 376-1320
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | OT012854 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | OS015324 | Pennsylvania |
Profile Details
| NPI number | 1992932339 |
|---|---|
| LBN Legal business name | Ellis, Brigid Kathleen |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2009 |
| Last updated | Oct 1st, 2018 - about 6 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 | 1992932339 | NPPES |
| Pennsylvania | MEDICAID | 102933835-0001 |
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