Ellis, Robert J

Ellis, Robert J is an individual health care provider with primary practice located at 3850 S National Ave Suite 600, Springfield MO 65807-5287. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Medical Oncology, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Ellis, Robert J can be contacted via phone (417) 882-4880.

Contact Information

Primary practice address
3850 S National Ave Suite 600 Springfield MO 65807-5287
Phone: (417) 882-4880
Fax: (417) 882-7843
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X R8N50 Missouri
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X R8N50 Missouri

Profile Details

NPI number 1720056823
LBN Legal business name Ellis, Robert J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Dec 29th, 2022 - 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 1720056823 NPPES
Missouri Other 3600111 UNITED HEALTHCARE
Missouri Other 830006713 UNITED HEALTHCARE
Missouri Other 129419 UNITED HEALTHCARE
Missouri MEDICAID 204988307 UNITED HEALTHCARE
Missouri Other 0628420001 UNITED HEALTHCARE

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