Ellis, George S.

Ellis, George S. is an individual health care provider with primary practice located at 200 Henry Clay Ave Suite 3106, New Orleans LA 70118-5720. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Ellis, George S. can be contacted via phone (504) 896-9426.

Contact Information

Primary practice address
200 Henry Clay Ave Suite 3106 New Orleans LA 70118-5720
Fax: (504) 896-9312
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 014253 Louisiana

Profile Details

NPI number 1700828613
LBN Legal business name Ellis, George S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated May 9th, 2011 - 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 1700828613 NPPES
Louisiana MEDICAID 1331660

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