Ellis, William Joe

Ellis, William Joe is an sole proprietor health care provider with primary practice located at 424 W Spencer Ave , Marion IN 46952-3809. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Ellis, William Joe can be contacted via phone (765) 662-9866.

Contact Information

Primary practice address
424 W Spencer Ave Marion IN 46952-3809
Phone: (765) 662-9866
Fax: (765) 668-4164
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X 02000651A Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 02000651A Indiana

Profile Details

NPI number 1477682003
LBN Legal business name Ellis, William Joe
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 2nd, 2007
Last updated May 8th, 2008 - about 16 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 1477682003 NPPES
Indiana Other 000000084415 ANTHEM BLUE CROSS
Indiana MEDICAID 100000720A ANTHEM BLUE CROSS

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