Ellison, Jon Gabriel
Ellison, Jon Gabriel is an sole proprietor health care provider with primary practice located at 7777 Alvarado Rd Ste 108 , La Mesa CA 91942-8245. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Ellison, Jon Gabriel can be contacted via phone (619) 460-2774.Contact Information
Primary practice address
7777 Alvarado Rd Ste 108
La Mesa CA 91942-8245
Phone: (619) 460-2774
Fax: (619) 460-2774
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 125049476 | Illinois |
Profile Details
| NPI number | 1760630669 |
|---|---|
| LBN Legal business name | Ellison, Jon Gabriel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 4th, 2008 |
| Last updated | Mar 2nd, 2012 - about 13 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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