Ellis, Tanya Shawn
Ellis, Tanya Shawn is an individual health care provider with primary practice located at 6320 W Union Hills Dr Ste 2800B , Glendale AZ 85308-1380. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Ellis, Tanya Shawn can be contacted via phone (623) 322-4991.Contact Information
Primary practice address
6320 W Union Hills Dr Ste 2800B
Glendale AZ 85308-1380
Phone: (623) 322-4991
Fax: (623) 322-9568
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 26544 | Arizona |
Profile Details
| NPI number | 1700854676 |
|---|---|
| LBN Legal business name | Ellis, Tanya Shawn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2006 |
| Last updated | Jul 30th, 2019 - about 6 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 | 1700854676 | NPPES |
| Arizona | Other | AZ0720030 | BC/BS |
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