Ingram, Ellis A

Ingram, Ellis A is an individual health care provider with primary practice located at One Hospital Dr , Columbia MO 65212-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Cytopathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Ingram, Ellis A can be contacted via phone (573) 882-1319.

Contact Information

Primary practice address
One Hospital Dr Columbia MO 65212-0001
Phone: (573) 882-1319
Fax: (573) 884-4612
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X R6258 Missouri
Allopathic & Osteopathic Physicians / Cytopathology 207ZC0500X R6258 Missouri

Profile Details

NPI number 1366489080
LBN Legal business name Ingram, Ellis A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Feb 20th, 2008 - about 16 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 1366489080 NPPES
Missouri Other 1104034 UNITED HEALHCARE
Missouri Other 126604 UNITED HEALHCARE
Missouri Other 127403 UNITED HEALHCARE

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