Ellis, Robert Greg

Ellis, Robert Greg is an individual health care provider with primary practice located at 46 Fairview Ave Ste 223 , Skowhegan ME 04976-1481. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Ellis, Robert Greg can be contacted via phone (207) 474-7045.

Contact Information

Primary practice address
46 Fairview Ave Ste 223 Skowhegan ME 04976-1481
Phone: (207) 474-7045
Fax: (207) 474-5173
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA575 Maine
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA575 Maine

Profile Details

NPI number 1912927971
LBN Legal business name Ellis, Robert Greg
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Jun 30th, 2023 - about 2 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 1912927971 NPPES
Maine MEDICAID 1912927971
Maine Other AP185001

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