Ellis, James Lee

Ellis, James Lee is an individual health care provider with primary practice located at 620 Skyline Drive , Jackson TN 38301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Ellis, James Lee can be contacted via phone (731) 541-6174.

Contact Information

Primary practice address
620 Skyline Drive Jackson TN 38301
Phone: (731) 541-6174
Fax: (731) 541-8008
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 16362 Tennessee

Profile Details

NPI number 1275500597
LBN Legal business name Ellis, James Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2006
Last updated Apr 25th, 2017 - about 7 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1275500597 NPPES
Other 4102603 BCBS
Other 300056938 BCBS
Other 3058561 BCBS
MEDICAID 3018989 BCBS
MEDICAID 3328436 BCBS
MEDICAID 3328435 BCBS

Popular Providers