Ezell, Oliver Laurence

Ezell, Oliver Laurence is an individual health care provider with primary practice located at 1504 Springhill Ave Ste 1365, Mobile AL 36604-3207. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Ezell, Oliver Laurence can be contacted via phone (251) 405-9914.

Contact Information

Primary practice address
1504 Springhill Ave Ste 1365 Mobile AL 36604-3207
Phone: (251) 405-9914
Fax: (251) 405-5317
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA-234 Alabama

Profile Details

NPI number 1831191113
LBN Legal business name Ezell, Oliver Laurence
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Oct 30th, 2007 - about 18 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

Identifiers

StateTypeNumberIssuer
All States NPI 1831191113 NPPES
Alabama Other 7722482 AETNA
Alabama Other P20387 AETNA
Alabama Other 630477348034 AETNA

Popular Providers