Ellis, Charles T.

Ellis, Charles T. is an sole proprietor health care provider with primary practice located at 2600 Winny Ave. , Helena MT 59601. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Ellis, Charles T. can be contacted via phone (406) 422-0414.

Contact Information

Primary practice address
2600 Winny Ave. Helena MT 59601
Fax: (612) 465-1397
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 11196 Montana
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD60191799 Washington

Profile Details

NPI number 1124196845
LBN Legal business name Ellis, Charles T.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 1st, 2006
Last updated Apr 1st, 2015 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1124196845 NPPES
Montana Other 0000914460 BLUE CROSS-SHIELD OF MONTANA

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