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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 14 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 1962410464 NPPES
Other 10588878 CAQH
MEDICAID 000193586A CAQH

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