Ellmers, Brent Raymond
Ellmers, Brent Raymond is an individual health care provider with primary practice located at 1061 Harmon Ave , Fort Stewart GA 31314. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Ellmers, Brent Raymond can be contacted via phone (912) 435-6965.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 200000972389 | North Carolina |
Profile Details
| NPI number | 1255329454 |
|---|---|
| LBN Legal business name | Ellmers, Brent Raymond |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 11th, 2005 |
| Last updated | Feb 28th, 2024 - 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 | 1255329454 | NPPES |
| Other | 1170Q | BCBS | |
| MEDICAID | 891170Q | BCBS |
Popular Providers
-
Ziemba, Mark Gerard
300 East Hospital Road Surgical Care Line, Fort Gordon GA 30905 -
Wellington, Jennifer Michelle
6600 Van Aalst Blvd , Fort Benning GA 31905-2102 -
Freeman, Robert Bryan
1061 Harmon Ave , Fort Stewart GA 31314-5641 -
Higgins, Deidres
300 W Hospital Rd Ddeamc, Fort Gordon GA 30905-5741 -
Richards, Carly Rachel
6600 Van Aalst Blvd , Fort Benning GA 31905-2102 -
Caddell, Erin
300 East Hospital Rd General Surgery Program, Ddeamc, Fort Gordon GA 30905-5650 -
Penn, Charles Hughes
1061 Harmon Ave Ste 1D03, Ft Stewart GA 31314 -
Lein, Brian
1881 Hardee Ave Sw , Fort Mcpherson GA 30330-1064