Ellis, Richard L

Ellis, Richard L is an individual health care provider with primary practice located at 7509 Farmington Way , Madison WI 53717-1810. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Ellis, Richard L can be contacted via phone (000) 000-0000.

Contact Information

Primary practice address
7509 Farmington Way Madison WI 53717-1810
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 23033 Wisconsin

Profile Details

NPI number 1174591051
LBN Legal business name Ellis, Richard L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Apr 9th, 2020 - about 5 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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