Ellis, Edward Stephen
Ellis, Edward Stephen is an individual health care provider with primary practice located at 110 Deer Xing , Vonore TN 37885-2133. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine, Allopathic & Osteopathic Physicians / Occupational Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Ellis, Edward Stephen can be contacted via phone (423) 884-6958.Contact Information
Primary practice address
110 Deer Xing
Vonore TN 37885-2133
Phone: (423) 884-6958
Fax: (423) 884-6959
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD0000012142 | Tennessee |
Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine | 2083P0500X | MD0000012142 | Tennessee |
Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | MD0000012142 | Tennessee |
Profile Details
NPI number | 1376511931 |
---|---|
LBN Legal business name | Ellis, Edward Stephen |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 9th, 2006 |
Last updated | Nov 5th, 2021 - about 3 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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