Jack, Randall Ellis
Jack, Randall Ellis is an individual health care provider with primary practice located at 635 Innovation Dr Ste 300 , Reno NV 89511-2215. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as his primary health care specialty. Jack, Randall Ellis can be contacted via phone (775) 329-6241.Contact Information
Primary practice address
635 Innovation Dr Ste 300
Reno NV 89511-2215
Phone: (775) 329-6241
Fax: (775) 329-4921
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | 13040 | Nevada |
Profile Details
NPI number | 1922044437 |
---|---|
LBN Legal business name | Jack, Randall Ellis |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 22nd, 2006 |
Last updated | Apr 12th, 2024 - 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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