Ellis, Clarence V

Ellis, Clarence V is an individual health care provider with primary practice located at 12790 W Alameda Pkwy Ste A , Lakewood CO 80228-2850. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Occupational Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Ellis, Clarence V can be contacted via phone (303) 403-6350.

Contact Information

Primary practice address
12790 W Alameda Pkwy Ste A Lakewood CO 80228-2850
Phone: (303) 403-6350
Fax: (303) 403-6372
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 33692 Colorado
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X 33692 Colorado

Profile Details

NPI number 1982647475
LBN Legal business name Ellis, Clarence V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Jan 25th, 2012 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1982647475 NPPES
Other 0801103606 MEDICARE RAILROAD
MEDICAID 61572578 MEDICARE RAILROAD

Popular Providers