Ellis, Zackry Calvin
Ellis, Zackry Calvin is an sole proprietor health care provider with primary practice located at 307 Placentia Ave Ste 111 , Newport Beach CA 92663-3307. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Ellis, Zackry Calvin can be contacted via phone (949) 722-1112.Contact Information
Primary practice address
307 Placentia Ave Ste 111
Newport Beach CA 92663-3307
Phone: (949) 722-1112
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA18593 | California |
Profile Details
| NPI number | 1366536278 |
|---|---|
| LBN Legal business name | Ellis, Zackry Calvin |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Oct 23rd, 2021 - about 4 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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