Ellis, Daniel Thomas
Ellis, Daniel Thomas is an sole proprietor health care provider with primary practice located at 18 Laurel Rd E , Stratford NJ 08084-1327. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Ellis, Daniel Thomas can be contacted via phone (856) 346-7816.Contact Information
Primary practice address
18 Laurel Rd E
Stratford NJ 08084-1327
Phone: (856) 346-7816
Fax: (856) 346-6385
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | MA78633 | New Jersey |
Profile Details
| NPI number | 1134162522 |
|---|---|
| LBN Legal business name | Ellis, Daniel Thomas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Dec 14th, 2009 - about 15 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 | 1134162522 | NPPES |
| New Jersey | MEDICAID | 0068489 |
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