Ellison, Keith Anthony

Ellison, Keith Anthony is an sole proprietor health care provider with primary practice located at 711 Court St , Portsmouth VA 23704-3625. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Computed Tomography, which is considered as his primary health care specialty. Ellison, Keith Anthony can be contacted via phone (757) 648-9284.

Contact Information

Primary practice address
711 Court St Portsmouth VA 23704-3625
Fax:
Website:

Health care specialties

Profile Details

NPI number 1427779073
LBN Legal business name Ellison, Keith Anthony
Credentials R.T.(R)(CT)(ARRT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 12th, 2022
Last updated Sep 12th, 2022 - 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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