Ellis, Jason M

Ellis, Jason M is an individual health care provider with primary practice located at 1515 Delhi St Ste 100 , Dubuque IA 52001-6320. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Ellis, Jason M can be contacted via phone (563) 557-9111.

Contact Information

Primary practice address
1515 Delhi St Ste 100 Dubuque IA 52001-6320
Phone: (563) 557-9111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 04734 Iowa
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X R9584 Iowa

Profile Details

NPI number 1679828578
LBN Legal business name Ellis, Jason M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2012
Last updated Apr 6th, 2021 - about 4 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.

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