Ezell, Paul

Ezell, Paul is an individual health care provider with primary practice located at 2010 W Chester Pike , Havertown PA 19083-2700. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Ezell, Paul can be contacted via phone (610) 446-2260.

Contact Information

Primary practice address
2010 W Chester Pike Havertown PA 19083-2700
Fax: (610) 446-3360
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD025524E Pennsylvania

Profile Details

NPI number 1235130741
LBN Legal business name Ezell, Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Jun 4th, 2012 - 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 1235130741 NPPES
Pennsylvania Other P00420778 RAILROAD MEDICARE

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