Ellison, Wesley

Ellison, Wesley is an individual health care provider with primary practice located at 3502 Franklin Ave , Bismarck ND 58503-0761. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology, which is considered as his primary health care specialty. Ellison, Wesley can be contacted via phone (701) 222-2480.

Contact Information

Primary practice address
3502 Franklin Ave Bismarck ND 58503-0761
Phone: (701) 222-2480
Fax: (701) 222-4537
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X 8189 North Dakota

Profile Details

NPI number 1740391044
LBN Legal business name Ellison, Wesley
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Dec 7th, 2007 - about 18 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 1740391044 NPPES
North Dakota Other 17894 BLUE SHIELD
North Dakota MEDICAID 11227 BLUE SHIELD
North Dakota Other CO4118 BLUE SHIELD

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