Ellis, Miles Wayne
Ellis, Miles Wayne is an sole proprietor health care provider with primary practice located at 4401 River Chase Dr Emergency Dept., Phenix City AL 36867-7483. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ellis, Miles Wayne can be contacted via phone (334) 732-3000.Contact Information
Primary practice address
4401 River Chase Dr Emergency Dept.
Phenix City AL 36867-7483
Phone: (334) 732-3000
Fax: (334) 732-3020
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 039782 | Georgia |
Profile Details
NPI number | 1871510644 |
---|---|
LBN Legal business name | Ellis, Miles Wayne |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 16th, 2006 |
Last updated | Jul 9th, 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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