Ellison, Sean Alfred

Ellison, Sean Alfred is an individual health care provider with primary practice located at 301 E Wendover Ave Ste 211 , Greensboro NC 27401-1232. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is his primary health care specialty. Ellison, Sean Alfred can be contacted via phone (336) 832-3088.

Contact Information

Primary practice address
301 E Wendover Ave Ste 211 Greensboro NC 27401-1232
Phone: (336) 832-3088
Fax: (336) 832-3080
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 9501233 North Carolina
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 9501233 North Carolina

Profile Details

NPI number 1548224983
LBN Legal business name Ellison, Sean Alfred
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Aug 18th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548224983 NPPES
North Carolina Other 60902 MEDCOST
North Carolina Other 5423138 MEDCOST
North Carolina Other 12317 MEDCOST
North Carolina MEDICAID 8930469 MEDCOST
North Carolina Other 30469 MEDCOST

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