Ellison, Howard Steven
Ellison, Howard Steven is an individual health care provider with primary practice located at 1010 East Freeway Drive , Conyers GA 30094. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Ellison, Howard Steven can be contacted via phone (770) 922-8222.Contact Information
Primary practice address
1010 East Freeway Drive
Conyers GA 30094
Phone: (770) 922-8222
Fax: (770) 922-2001
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 020695 | Georgia |
Profile Details
| NPI number | 1962410464 |
|---|---|
| LBN Legal business name | Ellison, Howard Steven |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2006 |
| Last updated | Jul 26th, 2010 - about 15 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 | 1962410464 | NPPES |
| Other | 10588878 | CAQH | |
| MEDICAID | 000193586A | CAQH |
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