Ellis, Thomas Joseph

Ellis, Thomas Joseph is an individual health care provider with primary practice located at 1204 E Fire Tower Rd Ecu Physicians Family Medicine Firetower Medical Office, Greenville NC 27858-4196. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ellis, Thomas Joseph can be contacted via phone (252) 744-1122.

Contact Information

Primary practice address
1204 E Fire Tower Rd Ecu Physicians Family Medicine Firetower Medical Office Greenville NC 27858-4196
Phone: (252) 744-1122
Fax: (252) 744-1133
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 9400483 North Carolina

Profile Details

NPI number 1326030354
LBN Legal business name Ellis, Thomas Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Jan 12th, 2024 - about 8 months 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 1326030354 NPPES
North Carolina Other 30618 BCBS NC
North Carolina MEDICAID 8930618 BCBS NC
North Carolina Other 80110816 BCBS NC

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