Ellis, Richard
Ellis, Richard is an individual health care provider with primary practice located at 404 Corder Rd Suite 100, Warner Robins GA 31088-3702. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Ellis, Richard can be contacted via phone (478) 322-1113.Contact Information
Primary practice address
404 Corder Rd Suite 100
Warner Robins GA 31088-3702
Phone: (478) 322-1113
Fax: (478) 322-1114
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 52170 | Georgia |
Profile Details
| NPI number | 1972549749 |
|---|---|
| LBN Legal business name | Ellis, Richard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2006 |
| Last updated | Jul 8th, 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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