Ellison, David M

Ellison, David M is an sole proprietor health care provider with primary practice located at 7908 Cincinnati Dayton Rd Suite J, West Chester OH 45069-6608. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Ellison, David M can be contacted via phone (937) 241-1830.

Contact Information

Primary practice address
7908 Cincinnati Dayton Rd Suite J West Chester OH 45069-6608
Phone: (937) 241-1830
Fax: (888) 418-2057
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 35.082208 Ohio
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35-082208 Ohio

Profile Details

NPI number 1104867795
LBN Legal business name Ellison, David M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2006
Last updated Jan 27th, 2015 - about 11 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 1104867795 NPPES
Ohio MEDICAID 2411830

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