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
Phone: (864) 879-7556
Fax: (864) 879-3693
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1548338197 | NPPES |
South Carolina | MEDICAID | 100795 | |
South Carolina | MEDICAID | 82458 | |
South Carolina | Other | P00804453 |
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