Ellis, Truitt C

Ellis, Truitt C is an sole proprietor health care provider with primary practice located at 110 29Th Ave N Ste 202 , Nashville TN 37203-1448. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Ellis, Truitt C can be contacted via phone (615) 327-4304.

Contact Information

Primary practice address
110 29Th Ave N Ste 202 Nashville TN 37203-1448
Phone: (615) 327-4304
Fax: (615) 327-7940
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 24148 Alabama
Other Service Providers / Specialist 174400000X 43311 Tennessee
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 43311 Tennessee

Profile Details

NPI number 1962446757
LBN Legal business name Ellis, Truitt C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 15th, 2006
Last updated Aug 5th, 2009 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1962446757 NPPES
Alabama MEDICAID 009972735
Alabama MEDICAID 009972745
Alabama MEDICAID 08526719
Alabama MEDICAID 3001384
Alabama MEDICAID 7100041490
Alabama Other 051531876
Alabama Other 051525265
Alabama Other 4169205
Alabama Other 051525270
Alabama Other 051525268
Alabama MEDICAID 009972755

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