Ellison, Richard R

Ellison, Richard R is an individual health care provider with primary practice located at 1 Park West Blvd Ste 150, Akron OH 44320. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Ellison, Richard R can be contacted via phone (330) 864-8060.

Contact Information

Primary practice address
1 Park West Blvd Ste 150 Akron OH 44320
Fax: (330) 864-8074
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 35055055 Ohio

Profile Details

NPI number 1043239072
LBN Legal business name Ellison, Richard R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Jul 8th, 2007 - about 17 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 1043239072 NPPES
Ohio MEDICAID 0689054
Ohio Other 000000126056

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