Ellis, Richard Ashley
Ellis, Richard Ashley is an sole proprietor health care provider with primary practice located at 1190 Veterans Blvd Ste C , Redwood City CA 94063-2037. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Ellis, Richard Ashley can be contacted via phone (650) 299-7800.Contact Information
Primary practice address
1190 Veterans Blvd Ste C
Redwood City CA 94063-2037
Phone: (650) 299-7800
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OS17840 | Florida |
Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | 12689 | California |
Profile Details
NPI number | 1386702140 |
---|---|
LBN Legal business name | Ellis, Richard Ashley |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 5th, 2006 |
Last updated | Mar 7th, 2023 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1386702140 | NPPES |
California | Other | 12689 | CA MEDICAL LICENSE |
Popular Providers
-
Madden, Christopher C
1309 Sunset St , Longmont CO 80501-3215 -
Desjardins, Matthew Todd
560 S Loop Rd , Edgewood KY 41017-3405 -
Schechter, David Louis
10811 Washington Blvd Suite 250, Culver City CA 90232-3659 -
Weldy, David Lee
3333 Glendale Ave , Toledo OH 43614-2426 -
Bogard, Peter
700 Ramsey Ave Ste 104, Grants Pass OR 97527-5788 -
Fayre, Gail B
25 Highland Ave , Newburyport MA 01950-3867 -
Harr, Patrick B.
22361 Oak Ridge Dr , Shell Knob MO 65747-7822 -
Brown, Jeffrey R
445 South Main Street , West Hartford CT 06110