Ellis, Thomas Wilks

Ellis, Thomas Wilks is an individual health care provider with primary practice located at 12000 Elm Creek Blvd N Suite 360, Maple Grove MN 55369-7073. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Ellis, Thomas Wilks can be contacted via phone (763) 315-4300.

Contact Information

Primary practice address
12000 Elm Creek Blvd N Suite 360 Maple Grove MN 55369-7073
Phone: (763) 315-4300
Fax: (763) 315-4360
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9063 Minnesota

Profile Details

NPI number 1881632891
LBN Legal business name Ellis, Thomas Wilks
Credentials P.A. C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Sep 24th, 2012 - about 13 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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