Kellis, George J
Kellis, George J is an individual health care provider with primary practice located at 150 7Th Ave Ste 200 , Chardon OH 44024-2909. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Kellis, George J can be contacted via phone (440) 285-4999.Contact Information
Primary practice address
150 7Th Ave Ste 200
Chardon OH 44024-2909
Phone: (440) 285-4999
Fax: (440) 285-5870
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 35.052298 | Ohio |
Profile Details
| NPI number | 1568449734 |
|---|---|
| LBN Legal business name | Kellis, George J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 28th, 2005 |
| Last updated | Nov 2nd, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568449734 | NPPES |
| Ohio | Other | 4134463 | AETNA |
| Ohio | MEDICAID | 0610708 | AETNA |
| Ohio | Other | 139661 | AETNA |
| Ohio | Other | 200022186 | AETNA |
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