Ellis, Milton Barry

Ellis, Milton Barry is an sole proprietor health care provider with primary practice located at 708 S South St Ste 300 , Mount Airy NC 27030-4589. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Ellis, Milton Barry can be contacted via phone (336) 838-7758.

Contact Information

Primary practice address
708 S South St Ste 300 Mount Airy NC 27030-4589
Fax: (336) 838-9790
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 38757 North Carolina
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 38757 North Carolina

Profile Details

NPI number 1306804869
LBN Legal business name Ellis, Milton Barry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 3rd, 2006
Last updated Jan 30th, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1306804869 NPPES
North Carolina Other P00099783 RAILROAD MEDICARE
North Carolina MEDICAID 8930638 RAILROAD MEDICARE

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