Ellis, Garrettson S
Ellis, Garrettson S is an individual health care provider with primary practice located at 5050 Poplar Ave Suite 800, Memphis TN 38157-0101. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Ellis, Garrettson S can be contacted via phone (901) 276-2662.Contact Information
Primary practice address
5050 Poplar Ave Suite 800
Memphis TN 38157-0101
Phone: (901) 276-2662
Fax: (901) 274-1871
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 38522 | Tennessee |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 38522 | Tennessee |
Profile Details
| NPI number | 1336145317 |
|---|---|
| LBN Legal business name | Ellis, Garrettson S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2005 |
| Last updated | Jun 21st, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336145317 | NPPES |
| Tennessee | Other | 38943941 | MEDICARE |
| Tennessee | MEDICAID | 3161384 | MEDICARE |
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