Ellison, Ernest Edward
Ellison, Ernest Edward is an individual health care provider with primary practice located at 4400 W 95Th St Suite 106, Oak Lawn IL 60453-2654. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Ellison, Ernest Edward can be contacted via phone (708) 422-7758.Contact Information
Primary practice address
4400 W 95Th St Suite 106
Oak Lawn IL 60453-2654
Phone: (708) 422-7758
Fax: (708) 422-8154
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 085.002980 | Illinois |
Profile Details
NPI number | 1730374976 |
---|---|
LBN Legal business name | Ellison, Ernest Edward |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 11th, 2007 |
Last updated | Sep 11th, 2007 - about 18 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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