Ellis, James K
Ellis, James K is an sole proprietor health care provider with primary practice located at 625 Leawood Dr , Frankfort KY 40601-4409. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Ellis, James K can be contacted via phone (502) 223-2020.Contact Information
Primary practice address
625 Leawood Dr
Frankfort KY 40601-4409
Phone: (502) 223-2020
Fax: (502) 223-0185
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 749 | Kentucky |
Profile Details
| NPI number | 1831308766 |
|---|---|
| LBN Legal business name | Ellis, James K |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 21st, 2007 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1831308766 | NPPES |
| Kentucky | MEDICAID | 77000628 |
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