Ellwood, Jason Mark

Ellwood, Jason Mark is an sole proprietor health care provider with primary practice located at 6905 Harris Avenue , Kailua HI 96734. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Military Health Care Provider, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Ellwood, Jason Mark can be contacted via phone (850) 505-6601.

Contact Information

Primary practice address
6905 Harris Avenue Kailua HI 96734
Phone: (850) 505-6601
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Military Health Care Provider 171000000X 0102206240 Virginia
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / General Practice 208D00000X 0102206240 Virginia

Profile Details

NPI number 1265906721
LBN Legal business name Ellwood, Jason Mark
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2019
Last updated Aug 18th, 2023 - about 2 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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