Green, Ellis A
Green, Ellis A is an individual health care provider with primary practice located at 10500 Montgomery Rd , Montgomery OH 45242-4402. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Green, Ellis A can be contacted via phone (513) 865-2246.Contact Information
Primary practice address
10500 Montgomery Rd
Montgomery OH 45242-4402
Phone: (513) 865-2246
Fax: (513) 865-5552
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 125.076113 | Illinois |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35.147159 | Ohio |
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 35.147159 | Ohio |
Profile Details
NPI number | 1053931170 |
---|---|
LBN Legal business name | Green, Ellis A |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 18th, 2020 |
Last updated | Jul 3rd, 2023 - about last year |
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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