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
Phone: (406) 422-0414
Fax: (612) 465-1397
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1124196845 | NPPES |
Montana | Other | 0000914460 | BLUE CROSS-SHIELD OF MONTANA |
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