Ellis, William G
Ellis, William G is an sole proprietor health care provider with primary practice located at 2400 N Commerce St Ste # 103, Ardmore OK 73401-1356. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Ellis, William G can be contacted via phone (580) 223-4858.Contact Information
Primary practice address
2400 N Commerce St Ste # 103
Ardmore OK 73401-1356
Phone: (580) 223-4858
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 1596 | Oklahoma |
| Chiropractic Providers / Chiropractor | 111N00000X | 3175 | Kentucky |
Profile Details
| NPI number | 1689644544 |
|---|---|
| LBN Legal business name | Ellis, William G |
| Credentials | D.C., IME |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 24th, 2006 |
| Last updated | Jul 23rd, 2010 - about 14 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 | 1689644544 | NPPES |
| Oklahoma | MEDICAID | J4318892452 |
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