Ellis, Justin D.

Ellis, Justin D. is an individual health care provider with primary practice located at 1771 Tate Blvd Se Suite 201, Hickory NC 28602-4249. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Ellis, Justin D. can be contacted via phone (828) 324-4804.

Contact Information

Primary practice address
1771 Tate Blvd Se Suite 201 Hickory NC 28602-4249
Phone: (828) 324-4804
Fax: (828) 324-7256
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 102909 North Carolina

Profile Details

NPI number 1972566651
LBN Legal business name Ellis, Justin D.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2006
Last updated Jun 3rd, 2015 - about 9 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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