List, Ellis Knox
List, Ellis Knox is an individual health care provider with primary practice located at 1014 Lamond Ave , Durham NC 27701-2021. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. List, Ellis Knox can be contacted via phone (919) 682-5327.Contact Information
Primary practice address
1014 Lamond Ave
Durham NC 27701-2021
Phone: (919) 682-5327
Fax: (919) 688-4588
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 5687 | North Carolina |
| Dental Providers / General Practice | 1223G0001X | 30-01-8657 | Ohio |
Profile Details
| NPI number | 1114921764 |
|---|---|
| LBN Legal business name | List, Ellis Knox |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2005 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1114921764 | NPPES |
| North Carolina | Other | 27028-1 | BLUE CROSS/BLUE SHIELD # |
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