Ellison, David Michael
Ellison, David Michael is an individual health care provider with primary practice located at 2085 Henry Tecklenburg Dr Second Floor, Charleston SC 29414-7710. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Ellison, David Michael can be contacted via phone (843) 577-6957.Contact Information
Primary practice address
2085 Henry Tecklenburg Dr Second Floor
Charleston SC 29414-7710
Phone: (843) 577-6957
Fax: (843) 577-6523
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 14902 | South Carolina |
Profile Details
| NPI number | 1740235928 |
|---|---|
| LBN Legal business name | Ellison, David Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2006 |
| Last updated | Oct 14th, 2022 - about 3 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 | 1740235928 | NPPES |
| South Carolina | Other | P00365928 | RAILROAD MEDICARE |
| South Carolina | MEDICAID | TL3110 | RAILROAD MEDICARE |
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