Ellis, Shawn Michael

Ellis, Shawn Michael is an individual health care provider with primary practice located at 4345 W Memorial Rd Ste 110 , Oklahoma City OK 73134-1717. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Ellis, Shawn Michael can be contacted via phone (405) 418-7000.

Contact Information

Primary practice address
4345 W Memorial Rd Ste 110 Oklahoma City OK 73134-1717
Phone: (405) 418-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 04757 Oklahoma
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 04757 Oklahoma

Profile Details

NPI number 1851551790
LBN Legal business name Ellis, Shawn Michael
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2008
Last updated May 9th, 2014 - about 10 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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