Ellis, William John

Ellis, William John is an sole proprietor health care provider with primary practice located at 3624 J Dewey Gray Cir Ste 302 Doctors Hospital Sports Medicine, Augusta GA 30909-6580. He recently has only one registered license in Hospitals / Rehabilitation Hospital, which is considered as his primary health care specialty. Ellis, William John can be contacted via phone (706) 651-2270.

Contact Information

Primary practice address
3624 J Dewey Gray Cir Ste 302 Doctors Hospital Sports Medicine Augusta GA 30909-6580
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Rehabilitation Hospital 283X00000X AT000706 Georgia

Profile Details

NPI number 1093878803
LBN Legal business name Ellis, William John
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 19th, 2006
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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