Ellis, Justina Marie

Ellis, Justina Marie is an individual health care provider with primary practice located at 515 Hospital Dr Ste 1 , Shelbyville KY 40065-1619. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Ellis, Justina Marie can be contacted via phone (502) 633-3525.

Contact Information

Primary practice address
515 Hospital Dr Ste 1 Shelbyville KY 40065-1619
Phone: (502) 633-3525
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 52870 Kentucky
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 52870 Kentucky

Profile Details

NPI number 1346602984
LBN Legal business name Ellis, Justina Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2016
Last updated Nov 30th, 2023 - about last year

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.

Request for update

Popular Providers