Ellis, Robert K
Ellis, Robert K is an individual health care provider with primary practice located at 2310 California Road Suite A, Elkhart IN 46514-1228. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hand Surgery, which is considered as his primary health care specialty. Ellis, Robert K can be contacted via phone (574) 264-4163.Contact Information
Primary practice address
2310 California Road Suite A
Elkhart IN 46514-1228
Phone: (574) 264-4163
Fax: (574) 262-9650
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | 01025493A | Indiana |
Profile Details
| NPI number | 1023036530 |
|---|---|
| LBN Legal business name | Ellis, Robert K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Sep 1st, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023036530 | NPPES |
| Indiana | MEDICAID | 100112110A |
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