Ellis, James W
Ellis, James W is an sole proprietor health care provider with primary practice located at 1220 33Rd St Suite A, Ogden UT 84403-1378. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Ellis, James W can be contacted via phone (801) 621-1835.Contact Information
Primary practice address
1220 33Rd St Suite A
Ogden UT 84403-1378
Phone: (801) 621-1835
Fax: (801) 621-1848
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 5664249-9921 | Utah |
Profile Details
| NPI number | 1417953431 |
|---|---|
| LBN Legal business name | Ellis, James W |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 23rd, 2005 |
| Last updated | Jul 2nd, 2008 - 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 | 1417953431 | NPPES |
| Utah | Other | 01638969 | UNITED CONCORDIA PROV. # |
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