Ellis, Christian

Ellis, Christian is an individual health care provider with primary practice located at 4140 W Memorial Rd Ste. 621, Oklahoma City OK 73120-8366. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Ellis, Christian can be contacted via phone (405) 749-4231.

Contact Information

Primary practice address
4140 W Memorial Rd Ste. 621 Oklahoma City OK 73120-8366
Phone: (405) 749-4231
Fax: (405) 749-4234
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X 3660 Oklahoma
Allopathic & Osteopathic Physicians / Surgery 208600000X 3660 Oklahoma

Profile Details

NPI number 1205832607
LBN Legal business name Ellis, Christian
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Jan 31st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205832607 NPPES
Other P00690379 RR MEDICARE
MEDICAID 200084540A RR MEDICARE

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