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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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