Ellison, David
Ellison, David is an individual health care provider with primary practice located at 1501 Trousdale Dr 3Rd Floor, Burlingame CA 94010-4506. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Ellison, David can be contacted via phone (650) 652-8580.Contact Information
Primary practice address
1501 Trousdale Dr 3Rd Floor
Burlingame CA 94010-4506
Phone: (650) 652-8580
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | G46178 | California |
Profile Details
| NPI number | 1033139076 |
|---|---|
| LBN Legal business name | Ellison, David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2006 |
| Last updated | Jun 19th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033139076 | NPPES |
| California | MEDICAID | ZZZ80557Z | |
| California | Other | ZZZ80557Z |
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