Ellis, Clayton Tyler

Ellis, Clayton Tyler is an sole proprietor health care provider with primary practice located at Ulp Colorectal Surgery 401 East Chestnut Street, #710, Louisville KY 40202-5707. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is his primary health care specialty. Ellis, Clayton Tyler can be contacted via phone (502) 583-8303.

Contact Information

Primary practice address
Ulp Colorectal Surgery 401 East Chestnut Street, #710 Louisville KY 40202-5707
Phone: (502) 583-8303
Fax: (502) 588-9506
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 173420 North Carolina
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X TP364 Kentucky

Profile Details

NPI number 1881988582
LBN Legal business name Ellis, Clayton Tyler
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 31st, 2011
Last updated May 22nd, 2019 - 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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