Ellis, Craig W.
Ellis, Craig W. is an sole proprietor health care provider with primary practice located at 4 Eastern Blvd , York PA 17402-2801. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Ellis, Craig W. can be contacted via phone (717) 757-2818.Contact Information
Primary practice address
4 Eastern Blvd
York PA 17402-2801
Phone: (717) 757-2818
Fax: (717) 757-9178
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | SC001626L | Pennsylvania |
Profile Details
| NPI number | 1225067770 |
|---|---|
| LBN Legal business name | Ellis, Craig W. |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 30th, 2006 |
| Last updated | Jun 22nd, 2010 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225067770 | NPPES |
| Pennsylvania | Other | 0069123000 | HIGHMARK |
| Pennsylvania | Other | 02320100 | HIGHMARK |
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