Ellis, Michael Roy
Ellis, Michael Roy is an sole proprietor health care provider with primary practice located at 789 Farmington Ave , Bristol CT 06010-3919. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Ellis, Michael Roy can be contacted via phone (860) 583-6056.Contact Information
Primary practice address
789 Farmington Ave
Bristol CT 06010-3919
Phone: (860) 583-6056
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 007856 | Connecticut |
Profile Details
| NPI number | 1003968983 |
|---|---|
| LBN Legal business name | Ellis, Michael Roy |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 18th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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