Ellison, William Travis

Ellison, William Travis is an individual health care provider with primary practice located at 2755 S Highway 14 Suite 1200A, Greer SC 29650-4902. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Ellison, William Travis can be contacted via phone (864) 879-7556.

Contact Information

Primary practice address
2755 S Highway 14 Suite 1200A Greer SC 29650-4902
Fax: (864) 879-3693
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 100795 South Carolina

Profile Details

NPI number 1548338197
LBN Legal business name Ellison, William Travis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2006
Last updated Dec 28th, 2020 - about 4 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 1548338197 NPPES
South Carolina MEDICAID 100795
South Carolina MEDICAID 82458
South Carolina Other P00804453

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