Ellis, Ethan Matthew
Ellis, Ethan Matthew is an individual health care provider with primary practice located at 461 N Westgate Dr , Weslaco TX 78596-2705. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Ellis, Ethan Matthew can be contacted via phone (956) 968-8713.Contact Information
Primary practice address
461 N Westgate Dr
Weslaco TX 78596-2705
Phone: (956) 968-8713
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 39621 | Texas |
Profile Details
| NPI number | 1386328979 |
|---|---|
| LBN Legal business name | Ellis, Ethan Matthew |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2023 |
| Last updated | Jun 14th, 2023 - about 2 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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