Ellison, Richard T
Ellison, Richard T is an individual health care provider with primary practice located at 119 Belmont St , Worcester MA 01605-2903. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Ellison, Richard T can be contacted via phone (508) 334-6053.Contact Information
Primary practice address
119 Belmont St
Worcester MA 01605-2903
Phone: (508) 334-6053
Fax: (508) 334-6412
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 75165 | Massachusetts |
Profile Details
| NPI number | 1548241292 |
|---|---|
| LBN Legal business name | Ellison, Richard T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 9th, 2005 |
| Last updated | Feb 12th, 2021 - about 3 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 | 1548241292 | NPPES |
| Massachusetts | MEDICAID | 3085821 |
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