Ellis, Julie E

Ellis, Julie E is an individual health care provider with primary practice located at 10085 Red Run Blvd Suite 307-310, Owings Mills MD 21117-4836. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Ellis, Julie E can be contacted via phone (410) 363-1843.

Contact Information

Primary practice address
10085 Red Run Blvd Suite 307-310 Owings Mills MD 21117-4836
Fax: (410) 363-2541
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X D0066534 Maryland

Profile Details

NPI number 1679767230
LBN Legal business name Ellis, Julie E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2007
Last updated Aug 28th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1679767230 NPPES
Maryland Other D0066534 MD LICENSE

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