Ellison, Patrick K
Ellison, Patrick K is an individual health care provider with primary practice located at 1532 Lone Oak Rd Suite 310, Paducah KY 42003-7913. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Ellison, Patrick K can be contacted via phone (270) 538-6200.Contact Information
Primary practice address
1532 Lone Oak Rd Suite 310
Paducah KY 42003-7913
Phone: (270) 538-6200
Fax: (270) 538-6220
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 36887 | Kentucky |
Profile Details
| NPI number | 1184626244 |
|---|---|
| LBN Legal business name | Ellison, Patrick K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2005 |
| Last updated | Apr 7th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184626244 | NPPES |
| Kentucky | MEDICAID | 64040900 |
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