Ellis, Georgiana K

Ellis, Georgiana K is an individual health care provider with primary practice located at Seattle Cancer Care Alliance 825 Eastlake Avenue East, Seattle WA 98109. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Ellis, Georgiana K can be contacted via phone (206) 288-7400.

Contact Information

Primary practice address
Seattle Cancer Care Alliance 825 Eastlake Avenue East Seattle WA 98109
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X MD00020969 Washington

Profile Details

NPI number 1821174681
LBN Legal business name Ellis, Georgiana K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2006
Last updated May 30th, 2008 - about 17 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 1821174681 NPPES
Other 5718 INTERNAL ID-MOTOR VEHICLE ID
MEDICAID 1035781 INTERNAL ID-MOTOR VEHICLE ID
Other 110097209 INTERNAL ID-MOTOR VEHICLE ID

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