Ellis, Michael Lynn
Ellis, Michael Lynn is an individual health care provider with primary practice located at 24 N Church St Suite 206, Wailuku HI 96793-1680. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Ellis, Michael Lynn can be contacted via phone (808) 242-0077.Contact Information
Primary practice address
24 N Church St Suite 206
Wailuku HI 96793-1680
Phone: (808) 242-0077
Fax: (808) 243-8004
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | DT2031 | Hawaii |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 14623 | Texas |
Profile Details
| NPI number | 1487705695 |
|---|---|
| LBN Legal business name | Ellis, Michael Lynn |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 15th, 2007 |
| Last updated | May 12th, 2015 - about 9 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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