Ellis, Julius Rodney

Ellis, Julius Rodney is an individual health care provider with primary practice located at 1509 State St , La Porte IN 46350-3115. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Ellis, Julius Rodney can be contacted via phone (219) 362-4690.

Contact Information

Primary practice address
1509 State St La Porte IN 46350-3115
Phone: (219) 362-4690
Fax: (219) 362-4692
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 01052711A Indiana

Profile Details

NPI number 1194734145
LBN Legal business name Ellis, Julius Rodney
Credentials MD FACOG
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2006
Last updated Sep 16th, 2020 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1194734145 NPPES
Indiana Other 000000522304 ANTHEM, BCBS
Indiana MEDICAID 200286860 ANTHEM, BCBS

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