George G Ellis Jr Md Inc

LBN: George G Ellis Jr Md Inc
George G Ellis Jr Md Inc is an health care organization with primary practice located at 910 Boardman Canfield Rd , Boardman OH 44512-4240. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. George G Ellis Jr Md Inc can be contacted via phone (330) 965-0832, or through Ellis, Lorraine via phone (330) 965-0832.

Contact Information

Primary practice address
910 Boardman Canfield Rd Boardman OH 44512-4240
Phone: (330) 965-0832
Fax: (330) 965-0155
Website:
Map and Directions
Authorized official contact:
Name: Ellis, Lorraine
Phone: (330) 965-0832

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35060641E Ohio

Profile Details

NPI number 1073708251
LBN Legal business name George G Ellis Jr Md Inc
DBA Doing business as
Authorized official Ellis, Lorraine
Entity Organization
Organization subpart 1 No
Enumeration date Sep 11th, 2007
Last updated Apr 21st, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073708251 NPPES
Ohio MEDICAID 0894500
Ohio MEDICAID 2316989

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