Ellison, Julia Centanni

Ellison, Julia Centanni is an individual health care provider with primary practice located at 411 N Section St , Fairhope AL 36532-2649. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Ellison, Julia Centanni can be contacted via phone (251) 660-3470.

Contact Information

Primary practice address
411 N Section St Fairhope AL 36532-2649
Fax: (251) 660-3471
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DO850 Alabama

Profile Details

NPI number 1518919406
LBN Legal business name Ellison, Julia Centanni
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Jan 31st, 2020 - about 4 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 1518919406 NPPES
West Virginia MEDICAID 3810005825
West Virginia Other DO850
West Virginia Other 51119080

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