Ellis, Matthew J.

Ellis, Matthew J. is an individual health care provider with primary practice located at 40 Duke Medicine Cir , Durham NC 27710-4000. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Ellis, Matthew J. can be contacted via phone (919) 684-8111.

Contact Information

Primary practice address
40 Duke Medicine Cir Durham NC 27710-4000
Phone: (919) 684-8111
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 200600873 North Carolina
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 200600873 North Carolina
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 200600873 North Carolina

Profile Details

NPI number 1316048424
LBN Legal business name Ellis, Matthew J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated May 14th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1316048424 NPPES
North Carolina MEDICAID 5905092
North Carolina Other 143RY

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