Ellis, Denise D

Ellis, Denise D is an sole proprietor health care provider with primary practice located at 11110 Medical Campus Rd Suite 105, Hagerstown MD 21742-6700. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Ellis, Denise D can be contacted via phone (301) 714-4000.

Contact Information

Primary practice address
11110 Medical Campus Rd Suite 105 Hagerstown MD 21742-6700
Phone: (301) 714-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 10851 Maryland
Pharmacy Service Providers / Pharmacist 183500000X RP035800-R Pennsylvania

Profile Details

NPI number 1912921412
LBN Legal business name Ellis, Denise D
Credentials PHARM D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2006
Last updated Jul 8th, 2007 - about 17 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 1912921412 NPPES
Maryland Other 10851 PHARMACIST LICENSE NUMBER

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