Ellis, Henry L.
Ellis, Henry L. is an individual health care provider with primary practice located at 100 Hitchcock Way , Manchester NH 03104-4125. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ellis, Henry L. can be contacted via phone (603) 695-2500.Contact Information
Primary practice address
100 Hitchcock Way
Manchester NH 03104-4125
Phone: (603) 695-2500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 5878 | New Hampshire |
Profile Details
| NPI number | 1962442335 |
|---|---|
| LBN Legal business name | Ellis, Henry L. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2006 |
| Last updated | Sep 8th, 2011 - about 14 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 | 1962442335 | NPPES |
| New Hampshire | MEDICAID | 00000060 |
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