Ellis, Cynthia R

Ellis, Cynthia R is an individual health care provider with primary practice located at 988102 Nebraska Medical Ctr , Omaha NE 68198-8102. She recently has only one registered license in Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, which is considered as her primary health care specialty. Ellis, Cynthia R can be contacted via phone (402) 559-6402.

Contact Information

Primary practice address
988102 Nebraska Medical Ctr Omaha NE 68198-8102
Fax: (402) 559-5731
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X 20928 Nebraska

Profile Details

NPI number 1144278672
LBN Legal business name Ellis, Cynthia R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Jun 22nd, 2011 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1144278672 NPPES
Nebraska Other 20928 NE LICENSE

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