Ellis, Peter J
Ellis, Peter J is an individual health care provider with primary practice located at 1625 Straits Tpke , Middlebury CT 06762-1805. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Ellis, Peter J can be contacted via phone (203) 758-8107.Contact Information
Primary practice address
1625 Straits Tpke
Middlebury CT 06762-1805
Phone: (203) 758-8107
Fax: (203) 568-2924
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 034548 | Connecticut |
Profile Details
| NPI number | 1912971599 |
|---|---|
| LBN Legal business name | Ellis, Peter J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 13th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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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