Ellison, Bruce E

Ellison, Bruce E is an individual health care provider with primary practice located at 2940 Whipple Ave Suite E, Redwood City CA 94062-2857. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Ellison, Bruce E can be contacted via phone (650) 366-4585.

Contact Information

Primary practice address
2940 Whipple Ave Suite E Redwood City CA 94062-2857
Phone: (650) 366-4585
Fax: (650) 366-3896
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X A84392 California

Profile Details

NPI number 1912932849
LBN Legal business name Ellison, Bruce E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Jul 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1912932849 NPPES
California Other 00A843920 BLUE SHIELD PROVIDER ID #

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