Ellis, Doug M

Ellis, Doug M is an individual health care provider with primary practice located at 324 W Agency Rd , West Burlington IA 52655-1674. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Ellis, Doug M can be contacted via phone (319) 753-2269.

Contact Information

Primary practice address
324 W Agency Rd West Burlington IA 52655-1674
Phone: (319) 753-2269
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 20041 Iowa

Profile Details

NPI number 1598325730
LBN Legal business name Ellis, Doug M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2019
Last updated Jun 19th, 2019 - about 5 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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