Ellis, Charles Robert

Ellis, Charles Robert is an individual health care provider with primary practice located at 109 Bee St , Charleston SC 29401-5703. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Aerospace Medicine, Allopathic & Osteopathic Physicians / Occupational Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Ellis, Charles Robert can be contacted via phone (843) 577-5011.

Contact Information

Primary practice address
109 Bee St Charleston SC 29401-5703
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 27678 North Carolina
Allopathic & Osteopathic Physicians / Aerospace Medicine 2083A0100X 27678 North Carolina
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X 27678 North Carolina

Profile Details

NPI number 1629024211
LBN Legal business name Ellis, Charles Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Apr 11th, 2016 - about 8 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.

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