Ellner, James David

Ellner, James David is an sole proprietor health care provider with primary practice located at 120 Stonebridge Pkwy Suite 420, Woodstock GA 30189-3767. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Ellner, James David can be contacted via phone (770) 544-1000.

Contact Information

Primary practice address
120 Stonebridge Pkwy Suite 420 Woodstock GA 30189-3767
Phone: (770) 544-1000
Fax: (770) 544-0302
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 035861 Georgia
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 035861 Georgia

Profile Details

NPI number 1720138696
LBN Legal business name Ellner, James David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 11th, 2007
Last updated Sep 26th, 2011 - about 13 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 1720138696 NPPES
Georgia Other 300008410 GA PAIN MANAGEMEN TAX ID#

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