Ellis, Lance A.
Ellis, Lance A. is an individual health care provider with primary practice located at 1507 W Main St , Gatesville TX 76528-1024. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Trauma. Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine is his primary health care specialty. Ellis, Lance A. can be contacted via phone (254) 865-2166.Contact Information
Primary practice address
1507 W Main St
Gatesville TX 76528-1024
Phone: (254) 865-2166
Fax: (254) 248-0626
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine | 207XS0117X | 5101015902 | Michigan |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine | 207XS0117X | 34-007955 | Ohio |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | M4053 | Texas |
| Allopathic & Osteopathic Physicians / Orthopaedic Trauma | 207XX0801X | M4053 | Texas |
| Allopathic & Osteopathic Physicians / Orthopaedic Trauma | 207XX0801X | 5101015902 | Michigan |
| Allopathic & Osteopathic Physicians / Orthopaedic Trauma | 207XX0801X | 34-007955 | Ohio |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine | 207XS0117X | M4053 | Texas |
Profile Details
| NPI number | 1508826074 |
|---|---|
| LBN Legal business name | Ellis, Lance A. |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 27th, 2006 |
| Last updated | Jul 31st, 2023 - about 2 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 | 1508826074 | NPPES |
| Texas | Other | M4053 | STATE LICENSE |
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