Marten-Ellis, Gerard L

Marten-Ellis, Gerard L is an sole proprietor health care provider with primary practice located at 2301 S Clear Creek Rd Suite 116, Killeen TX 76549-4143. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Marten-Ellis, Gerard L can be contacted via phone (254) 526-5505.

Contact Information

Primary practice address
2301 S Clear Creek Rd Suite 116 Killeen TX 76549-4143
Phone: (254) 526-5505
Fax: (254) 526-4313
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X G6970 Texas

Profile Details

NPI number 1679545487
LBN Legal business name Marten-Ellis, Gerard L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 6th, 2006
Last updated Oct 15th, 2007 - about 17 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 1679545487 NPPES
Texas MEDICAID 110279002

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