Ellis, Dale Edwin

Ellis, Dale Edwin is an sole proprietor health care provider with primary practice located at 1000 S Sterling St , Morganton NC 28655. 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, Dale Edwin can be contacted via phone (828) 433-2235.

Contact Information

Primary practice address
1000 S Sterling St Morganton NC 28655
Fax: (828) 433-2491
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 100890 North Carolina

Profile Details

NPI number 1932119435
LBN Legal business name Ellis, Dale Edwin
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 8th, 2006
Last updated May 23rd, 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.

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