Ellman, Marc
Ellman, Marc is an individual health care provider with primary practice located at 1400 Common Dr , El Paso TX 79936-5922. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Ellman, Marc can be contacted via phone (915) 595-4375.Contact Information
Primary practice address
1400 Common Dr
El Paso TX 79936-5922
Phone: (915) 595-4375
Fax: (915) 595-4460
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | MD2004-0199 | New Mexico |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | L8680 | Texas |
Profile Details
| NPI number | 1780635268 |
|---|---|
| LBN Legal business name | Ellman, Marc |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2006 |
| Last updated | Apr 7th, 2023 - about last year |
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 | 1780635268 | NPPES |
| New Mexico | MEDICAID | 17702003 | |
| New Mexico | MEDICAID | 168080301 |
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