Ellis, Michael Sydney
Ellis, Michael Sydney is an sole proprietor health care provider with primary practice located at 1415 Tulane Ave , New Orleans LA 70112-2600. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Ellis, Michael Sydney can be contacted via phone (504) 988-5451.Contact Information
Primary practice address
1415 Tulane Ave
New Orleans LA 70112-2600
Phone: (504) 988-5451
Fax: (504) 988-5948
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | 010221 | Louisiana |
Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | MD.010221 | Louisiana |
Profile Details
NPI number | 1518961259 |
---|---|
LBN Legal business name | Ellis, Michael Sydney |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 10th, 2005 |
Last updated | Apr 19th, 2017 - about 7 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 | 1518961259 | NPPES |
Alabama | MEDICAID | 1518961259 | |
Alabama | MEDICAID | 09737205 | |
Alabama | MEDICAID | 1101133 |
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