Ellison, Jim Patrick
Ellison, Jim Patrick is an individual health care provider with primary practice located at Medical Center Blvd , Winston Salem NC 27157-2375. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Ellison, Jim Patrick can be contacted via phone (336) 716-6410.Contact Information
Primary practice address
Medical Center Blvd
Winston Salem NC 27157-2375
Phone: (336) 716-6410
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 32955 | Alabama |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 2021-00081 | North Carolina |
Profile Details
| NPI number | 1811251291 |
|---|---|
| LBN Legal business name | Ellison, Jim Patrick |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2012 |
| Last updated | Aug 10th, 2023 - about 2 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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