Ellison, Michael John
Ellison, Michael John is an individual health care provider with primary practice located at 1595 Soquel Dr Ste 230 , Santa Cruz CA 95065-1721. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Ellison, Michael John can be contacted via phone (831) 226-3225.Contact Information
Primary practice address
1595 Soquel Dr Ste 230
Santa Cruz CA 95065-1721
Phone: (831) 226-3225
Fax: (831) 423-7579
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | G64790 | California |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | G64790 | California |
Profile Details
| NPI number | 1861465932 |
|---|---|
| LBN Legal business name | Ellison, Michael John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 9th, 2006 |
| Last updated | Aug 20th, 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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