Ellis, Jeffrey L

Ellis, Jeffrey L is an individual health care provider with primary practice located at 222 Medical Cir , Morehead KY 40351-1179. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cytopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Ellis, Jeffrey L can be contacted via phone (606) 783-6732.

Contact Information

Primary practice address
222 Medical Cir Morehead KY 40351-1179
Phone: (606) 783-6732
Fax: (606) 783-6488
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cytopathology 207ZC0500X 26605 Kentucky
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 26605 Kentucky

Profile Details

NPI number 1326142035
LBN Legal business name Ellis, Jeffrey L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2006
Last updated Jul 13th, 2020 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1326142035 NPPES
Kentucky Other 000000072449 BC PHYSICIAN GROUP NUMBER
Kentucky MEDICAID 65906844 BC PHYSICIAN GROUP NUMBER
Kentucky MEDICAID 64266059 BC PHYSICIAN GROUP NUMBER
Kentucky Other 000000186695 BC PHYSICIAN GROUP NUMBER

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