Ellis, Reuben Kristian

Ellis, Reuben Kristian is an sole proprietor health care provider with primary practice located at 1425 Georgia Ave Ste 201A , Macon GA 31201-6546. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Ellis, Reuben Kristian can be contacted via phone (478) 250-1325.

Contact Information

Primary practice address
1425 Georgia Ave Ste 201A Macon GA 31201-6546
Phone: (478) 250-1325
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 055819 Georgia

Profile Details

NPI number 1114969110
LBN Legal business name Ellis, Reuben Kristian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 12th, 2006
Last updated Nov 19th, 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 1114969110 NPPES
Georgia MEDICAID 730346684AC
Georgia MEDICAID 730346684AD
Georgia MEDICAID 730346684K
Georgia MEDICAID 730346684T
Georgia MEDICAID 730346684U
Georgia MEDICAID 730346684X
Georgia MEDICAID 730346684P
Georgia MEDICAID 730346684S
Georgia MEDICAID 730346684AB
Georgia MEDICAID 730346684M
Georgia MEDICAID 730346684R
Georgia MEDICAID 730346684J
Georgia MEDICAID 730346684O
Georgia MEDICAID 730346684Z
Georgia MEDICAID 730346684AA
Georgia MEDICAID 730346684G
Georgia MEDICAID 730346684N
Georgia MEDICAID 730346684Q
Georgia MEDICAID 730346684V
Georgia MEDICAID 730346684W
Georgia MEDICAID 730346684Y

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