Ellis, Elliot

Ellis, Elliot is an individual health care provider with primary practice located at 1117 N Olive Ave Suite 203, West Palm Beach FL 33401-3520. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Ellis, Elliot can be contacted via phone (561) 802-4206.

Contact Information

Primary practice address
1117 N Olive Ave Suite 203 West Palm Beach FL 33401-3520
Phone: (561) 802-4206
Fax: (561) 802-9059
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 239542 New York
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 103667 Florida

Profile Details

NPI number 1396914800
LBN Legal business name Ellis, Elliot
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2008
Last updated Jul 13th, 2012 - about 13 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 1396914800 NPPES
Florida MEDICAID 0016552500

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