Ellis, Elaine M

Ellis, Elaine M is an individual health care provider with primary practice located at 10210 N 92Nd St Suite 207, Scottsdale AZ 85258-4509. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities, which is considered as her primary health care specialty. Ellis, Elaine M can be contacted via phone (480) 661-1332.

Contact Information

Primary practice address
10210 N 92Nd St Suite 207 Scottsdale AZ 85258-4509
Phone: (480) 661-1332
Fax: (480) 661-1364
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities 2080P0008X 33938 Arizona

Profile Details

NPI number 1952364150
LBN Legal business name Ellis, Elaine M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated Aug 25th, 2010 - about 15 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1952364150 NPPES
Arizona MEDICAID 953142

Popular Providers