Ellis, Troy C
Ellis, Troy C is an sole proprietor health care provider with primary practice located at 13943 N 91St Ave #C-101, Peoria AZ 85381-3629. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Ellis, Troy C can be contacted via phone (623) 760-9449.Contact Information
Primary practice address
13943 N 91St Ave #C-101
Peoria AZ 85381-3629
Phone: (623) 760-9449
Fax: (623) 974-9351
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 49391 | Arizona |
Profile Details
| NPI number | 1356491997 |
|---|---|
| LBN Legal business name | Ellis, Troy C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 12th, 2007 |
| Last updated | Jan 26th, 2016 - about 9 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 | 1356491997 | NPPES |
| Arizona | Other | 4847313 | AETNA |
| Arizona | Other | 1356491997 | AETNA |
| Arizona | Other | 2868924 | AETNA |
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