Ellison, Aaron Gregory

Ellison, Aaron Gregory is an individual health care provider with primary practice located at 9908 Couloak Dr Suite 202, Charlotte NC 28216-8678. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Ellison, Aaron Gregory can be contacted via phone (704) 801-3050.

Contact Information

Primary practice address
9908 Couloak Dr Suite 202 Charlotte NC 28216-8678
Phone: (704) 801-3050
Fax: (704) 801-3026
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2004-00205 North Carolina
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 2004-00205 North Carolina

Profile Details

NPI number 1730154659
LBN Legal business name Ellison, Aaron Gregory
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Nov 22nd, 2016 - about 9 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 1730154659 NPPES
North Carolina MEDICAID 1730154659
North Carolina MEDICAID 5903142

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