Ellis, Richard Leroy
Ellis, Richard Leroy is an sole proprietor health care provider with primary practice located at 2657 Park Lane Ct East--Unit F , Birmingham AL 35223. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Ellis, Richard Leroy can be contacted via phone (205) 879-1386.Contact Information
Primary practice address
2657 Park Lane Ct East--Unit F
Birmingham AL 35223
Phone: (205) 879-1386
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | DO145 | Alabama |
Profile Details
| NPI number | 1104010206 |
|---|---|
| LBN Legal business name | Ellis, Richard Leroy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2007 |
| Last updated | Aug 31st, 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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