Ellis, Christopher A
Ellis, Christopher A is an individual health care provider with primary practice located at 1900 16Th St , Greeley CO 80631-5114. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Ellis, Christopher A can be contacted via phone (970) 350-2427.Contact Information
Primary practice address
1900 16Th St
Greeley CO 80631-5114
Phone: (970) 350-2427
Fax: (970) 350-2421
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 947 | Colorado |
Profile Details
| NPI number | 1952377665 |
|---|---|
| LBN Legal business name | Ellis, Christopher A |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 23rd, 2006 |
| Last updated | Jul 1st, 2013 - about 11 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 | 1952377665 | NPPES |
| Colorado | MEDICAID | 07733054 |
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