Ellis, John P
Ellis, John P is an individual health care provider with primary practice located at 21992 Lorain Rd , Fairview Park OH 44126-3333. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Ellis, John P can be contacted via phone (440) 333-7300.Contact Information
Primary practice address
21992 Lorain Rd
Fairview Park OH 44126-3333
Phone: (440) 333-7300
Fax: (440) 995-1234
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 36002463E | Ohio |
Profile Details
| NPI number | 1043384795 |
|---|---|
| LBN Legal business name | Ellis, John P |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 17th, 2006 |
| Last updated | Jan 23rd, 2015 - about 10 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 | 1043384795 | NPPES |
| Ohio | MEDICAID | 0691845 |
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