Ellis, Christopher
Ellis, Christopher is an sole proprietor health care provider with primary practice located at 3111 S 31St St Suite3305, Temple TX 76502-1956. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Ellis, Christopher can be contacted via phone (254) 771-5263.Contact Information
Primary practice address
3111 S 31St St Suite3305
Temple TX 76502-1956
Phone: (254) 771-5263
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 5240TG | Texas |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 5240TG | Texas |
Profile Details
| NPI number | 1821012097 |
|---|---|
| LBN Legal business name | Ellis, Christopher |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 27th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1821012097 | NPPES |
| Texas | MEDICAID | 0195976-4 |
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