Ellis, Mark Kenneth

Ellis, Mark Kenneth is an sole proprietor health care provider with primary practice located at 2 5Th Ave Apt 2D , New York NY 10011-8832. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Ellis, Mark Kenneth can be contacted via phone (914) 393-2368.

Contact Information

Primary practice address
2 5Th Ave Apt 2D New York NY 10011-8832
Phone: (914) 393-2368
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X R72186 Arizona

Profile Details

NPI number 1659682219
LBN Legal business name Ellis, Mark Kenneth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 29th, 2010
Last updated Jun 2nd, 2014 - about 10 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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