Ellyson, John Holbert

Ellyson, John Holbert is an individual health care provider with primary practice located at 340 Lowe St , Jackson CA 95642-2544. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Ellyson, John Holbert can be contacted via phone (209) 223-2474.

Contact Information

Primary practice address
340 Lowe St Jackson CA 95642-2544
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X G15379 California

Profile Details

NPI number 1336115922
LBN Legal business name Ellyson, John Holbert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2006
Last updated Jul 8th, 2007 - about 17 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.

Request for update

Popular Providers