Ellis, Madeline R
Ellis, Madeline R is an sole proprietor health care provider with primary practice located at 214 E Main St Ste 100 , Gallatin TN 37066-3031. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Ellis, Madeline R can be contacted via phone (615) 686-2346.Contact Information
Primary practice address
214 E Main St Ste 100
Gallatin TN 37066-3031
Phone: (615) 686-2346
Fax: (615) 535-0230
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 51141 | Tennessee |
Profile Details
| NPI number | 1699938688 |
|---|---|
| LBN Legal business name | Ellis, Madeline R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 9th, 2008 |
| Last updated | Mar 21st, 2024 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699938688 | NPPES |
| Tennessee | MEDICAID | Q005652 |
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