Ellis, David Anderson

Ellis, David Anderson is an individual health care provider with primary practice located at 1824 Pisgah Dr , Hendersonville NC 28791. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Ellis, David Anderson can be contacted via phone (828) 698-5500.

Contact Information

Primary practice address
1824 Pisgah Dr Hendersonville NC 28791
Fax: (828) 698-5503
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 31499 North Carolina

Profile Details

NPI number 1376649210
LBN Legal business name Ellis, David Anderson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2006
Last updated Aug 10th, 2018 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1376649210 NPPES
North Carolina Other 160048115 RAILROAD MEDICARE
North Carolina Other 30358 RAILROAD MEDICARE
North Carolina MEDICAID 8930358 RAILROAD MEDICARE

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