Ellis, Earl

Ellis, Earl is an individual health care provider with primary practice located at 606 Fisher St , Biloxi MS 39534-2513. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Ellis, Earl can be contacted via phone (228) 377-4510.

Contact Information

Primary practice address
606 Fisher St Biloxi MS 39534-2513
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 14, 622 Texas

Profile Details

NPI number 1831150333
LBN Legal business name Ellis, Earl
Credentials D.D.S., M.S
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 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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