Ellis, Stephen C.
Ellis, Stephen C. is an individual health care provider with primary practice located at 19600 E 39Th St S , Independence MO 64057-2301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Ellis, Stephen C. can be contacted via phone (913) 428-2900.Contact Information
Primary practice address
19600 E 39Th St S
Independence MO 64057-2301
Phone: (913) 428-2900
Fax: (913) 428-2951
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | R5J54 | Missouri |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 04-21076 | Kansas |
Profile Details
| NPI number | 1275515314 |
|---|---|
| LBN Legal business name | Ellis, Stephen C. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2005 |
| Last updated | Aug 18th, 2014 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275515314 | NPPES |
| Kansas | MEDICAID | 100192350C | |
| Kansas | MEDICAID | 202168845 |
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