Ellis, Steven Phillip
Ellis, Steven Phillip is an individual health care provider with primary practice located at 3801 S National Ave Ste 900 , Springfield MO 65807. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Clinical Neurophysiology. Allopathic & Osteopathic Physicians / Clinical Neurophysiology is his primary health care specialty. Ellis, Steven Phillip can be contacted via phone (417) 875-3087.Contact Information
Primary practice address
3801 S National Ave Ste 900
Springfield MO 65807
Phone: (417) 875-3087
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | R1743 | Texas |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 2018014545 | Missouri |
| Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X | R1743 | Texas |
| Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X | 2018014545 | Missouri |
Profile Details
| NPI number | 1821431123 |
|---|---|
| LBN Legal business name | Ellis, Steven Phillip |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 17th, 2013 |
| Last updated | Jul 2nd, 2018 - about 7 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 | 1821431123 | NPPES |
| Missouri | MEDICAID | 1821431123 |
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