Ellison, Robert G
Ellison, Robert G is an individual health care provider with primary practice located at 400 Bald Hill Rd Ste 520, Warwick RI 02886-1692. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Ellison, Robert G can be contacted via phone (401) 793-8520.Contact Information
Primary practice address
400 Bald Hill Rd Ste 520
Warwick RI 02886-1692
Phone: (401) 793-8520
Fax: (401) 793-8527
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD04969 | Rhode Island |
Profile Details
| NPI number | 1083610836 |
|---|---|
| LBN Legal business name | Ellison, Robert G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2005 |
| Last updated | Sep 7th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083610836 | NPPES |
| Rhode Island | MEDICAID | RE04322 | |
| Rhode Island | MEDICAID | 2071151 |
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