Ellis, Matthew J
Ellis, Matthew J is an individual health care provider with primary practice located at 6620 Main St Suite 1350, Houston TX 77030-2348. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Ellis, Matthew J can be contacted via phone (713) 798-1999.Contact Information
Primary practice address
6620 Main St Suite 1350
Houston TX 77030-2348
Phone: (713) 798-1999
Fax: (713) 798-1990
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | Q2126 | Texas |
Profile Details
| NPI number | 1669495685 |
|---|---|
| LBN Legal business name | Ellis, Matthew J |
| Credentials | MD PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 2006 |
| Last updated | Oct 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669495685 | NPPES |
| Missouri | MEDICAID | 904430183 |
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