Ellis, Sherry B.

Ellis, Sherry B. is an sole proprietor health care provider with primary practice located at 6646 Atlantic Ave Ste 100 , Delray Beach FL 33446-1627. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Ellis, Sherry B. can be contacted via phone (561) 638-9533.

Contact Information

Primary practice address
6646 Atlantic Ave Ste 100 Delray Beach FL 33446-1627
Phone: (561) 638-9533
Fax: (561) 638-7760
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X ME57250 Florida

Profile Details

NPI number 1114114311
LBN Legal business name Ellis, Sherry B.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 2nd, 2007
Last updated Aug 9th, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1114114311 NPPES
Florida MEDICAID 255747900

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