Ellis, Robert Tyler
Ellis, Robert Tyler is an individual health care provider with primary practice located at 497 Azalea Dr Ste 102 , Oxford MS 38655-7906. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Ellis, Robert Tyler can be contacted via phone (662) 513-2000.Contact Information
Primary practice address
497 Azalea Dr Ste 102
Oxford MS 38655-7906
Phone: (662) 513-2000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 29723 | Mississippi |
Profile Details
| NPI number | 1316467277 |
|---|---|
| LBN Legal business name | Ellis, Robert Tyler |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2017 |
| Last updated | Aug 24th, 2023 - about last year |
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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