Ellison, Carrol Wendall

Ellison, Carrol Wendall is an sole proprietor health care provider with primary practice located at 500 East Parker Rd , Morganton NC 28655. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Ellison, Carrol Wendall can be contacted via phone (828) 433-5700.

Contact Information

Primary practice address
500 East Parker Rd Morganton NC 28655
Phone: (828) 433-5700
Fax: (828) 433-5702
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 19994 North Carolina
Allopathic & Osteopathic Physicians / General Practice 208D00000X 19994 North Carolina

Profile Details

NPI number 1912903774
LBN Legal business name Ellison, Carrol Wendall
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 24th, 2005
Last updated Mar 17th, 2015 - 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 1912903774 NPPES
North Carolina MEDICAID 8930648

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