Ellis, Oren Henry

Ellis, Oren Henry is an individual health care provider with primary practice located at 1631 Hospital Dr Suite 200, Santa Fe NM 87505-4728. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Ellis, Oren Henry can be contacted via phone (505) 424-0578.

Contact Information

Primary practice address
1631 Hospital Dr Suite 200 Santa Fe NM 87505-4728
Phone: (505) 424-0578
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 66-2 New Mexico

Profile Details

NPI number 1780652396
LBN Legal business name Ellis, Oren Henry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Nov 21st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1780652396 NPPES
Other PROVO13053 MOLINA
Other 5421393 MOLINA
Other 10003858 MOLINA
MEDICAID V7059 MOLINA
Other NM01VP02 MOLINA
Other 2335644 MOLINA

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