Ellis, Gregory Carl

Ellis, Gregory Carl is an individual health care provider with primary practice located at 1224 Eastchester Dr , High Point NC 27265-3116. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Ellis, Gregory Carl can be contacted via phone (336) 481-1830.

Contact Information

Primary practice address
1224 Eastchester Dr High Point NC 27265-3116
Phone: (336) 481-1830
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35118 North Carolina

Profile Details

NPI number 1043257231
LBN Legal business name Ellis, Gregory Carl
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Feb 1st, 2022 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1043257231 NPPES
North Carolina MEDICAID 8930633

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