Ellis, Wayne Enoch

Ellis, Wayne Enoch is an sole proprietor health care provider with primary practice located at 1038 N Eisenhower Dr Suite 152, Beckley WV 25801-3116. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Ellis, Wayne Enoch can be contacted via phone (304) 731-0102.

Contact Information

Primary practice address
1038 N Eisenhower Dr Suite 152 Beckley WV 25801-3116
Phone: (304) 731-0102
Fax: (270) 342-0001
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 65453 West Virginia

Profile Details

NPI number 1538219704
LBN Legal business name Ellis, Wayne Enoch
Credentials PH.D., CRNA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 11th, 2007
Last updated Jul 8th, 2007 - 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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