Ellis, Michael

Ellis, Michael is an individual health care provider with primary practice located at 3125 Transverse Dr , Toledo OH 43614-8008. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Ellis, Michael can be contacted via phone (419) 383-3780.

Contact Information

Primary practice address
3125 Transverse Dr Toledo OH 43614-8008
Phone: (419) 383-3780
Fax: (419) 383-3338
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X MD32787 District of Columbia
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 35.125469 Ohio

Profile Details

NPI number 1871564617
LBN Legal business name Ellis, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Jul 21st, 2022 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1871564617 NPPES
Ohio MEDICAID 0133740

Popular Providers