Ellison, Robert Stanfill

Ellison, Robert Stanfill is an individual health care provider with primary practice located at 614 Howard Street Asu Student Health Service, Boone NC 28607. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Ellison, Robert Stanfill can be contacted via phone (828) 262-3100.

Contact Information

Primary practice address
614 Howard Street Asu Student Health Service Boone NC 28607
Fax: (828) 262-6262
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 28181 North Carolina

Profile Details

NPI number 1841309762
LBN Legal business name Ellison, Robert Stanfill
Credentials MD, MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jan 12th, 2010 - about 15 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 1841309762 NPPES
North Carolina MEDICAID 3404395

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