Ello, Glenn N.

Ello, Glenn N. is an sole proprietor health care provider with primary practice located at 4309 W 27Th Pl Suite 301, Kennewick WA 99338-2904. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Ello, Glenn N. can be contacted via phone (509) 222-2231.

Contact Information

Primary practice address
4309 W 27Th Pl Suite 301 Kennewick WA 99338-2904
Phone: (509) 222-2231
Fax: (509) 222-2232
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD00043998 Washington

Profile Details

NPI number 1235182841
LBN Legal business name Ello, Glenn N.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 18th, 2006
Last updated Jul 12th, 2010 - about 15 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 1235182841 NPPES
Washington MEDICAID 8402364

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