Ellis, Jerome Keefer

Ellis, Jerome Keefer is an individual health care provider with primary practice located at 24 Cree Dr , Lock Haven PA 17745-2639. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Ellis, Jerome Keefer can be contacted via phone (570) 893-5000.

Contact Information

Primary practice address
24 Cree Dr Lock Haven PA 17745-2639
Phone: (570) 893-5000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD069228L Pennsylvania
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD069228L Pennsylvania

Profile Details

NPI number 1568423366
LBN Legal business name Ellis, Jerome Keefer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Jul 8th, 2007 - 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.

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