Ellis, Ryan
Ellis, Ryan is an sole proprietor health care provider with primary practice located at 5479 N Fresno St Ste 104 , Fresno CA 93710-8328. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Ellis, Ryan can be contacted via phone (559) 439-5280.Contact Information
Primary practice address
5479 N Fresno St Ste 104
Fresno CA 93710-8328
Phone: (559) 439-5280
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | 53786 | California |
Profile Details
| NPI number | 1235379454 |
|---|---|
| LBN Legal business name | Ellis, Ryan |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 27th, 2009 |
| Last updated | Feb 27th, 2009 - about 15 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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