Ellis, Howard Ross
Ellis, Howard Ross is an individual health care provider with primary practice located at 665 Duluth Hwy Ste 920 , Lawrenceville GA 30046. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Ellis, Howard Ross can be contacted via phone (678) 312-5250.Contact Information
Primary practice address
665 Duluth Hwy Ste 920
Lawrenceville GA 30046
Phone: (678) 312-5250
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 50159 | Georgia |
Profile Details
| NPI number | 1013063445 |
|---|---|
| LBN Legal business name | Ellis, Howard Ross |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2007 |
| Last updated | Feb 26th, 2021 - about 3 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 | 1013063445 | NPPES |
| Georgia | MEDICAID | 000908432A |
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