Ellis, Gregory H
Ellis, Gregory H is an individual health care provider with primary practice located at 2015 Jackson St , Anderson IN 46016-4337. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Ellis, Gregory H can be contacted via phone (765) 646-8433.Contact Information
Primary practice address
2015 Jackson St
Anderson IN 46016-4337
Phone: (765) 646-8433
Fax: (765) 683-2528
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 01028194A | Indiana |
Profile Details
| NPI number | 1841275096 |
|---|---|
| LBN Legal business name | Ellis, Gregory H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 9th, 2005 |
| Last updated | Jul 8th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841275096 | NPPES |
| Indiana | Other | 000000085495 | BCBS |
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