Mullis, Ellyn Pearson
Mullis, Ellyn Pearson is an sole proprietor health care provider with primary practice located at 1022 Shelton Ave , Statesville NC 28677-6826. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mullis, Ellyn Pearson can be contacted via phone (704) 768-2088.Contact Information
Primary practice address
1022 Shelton Ave
Statesville NC 28677-6826
Phone: (704) 768-2088
Fax: (704) 768-2081
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 37919 | North Carolina |
Profile Details
| NPI number | 1144336082 |
|---|---|
| LBN Legal business name | Mullis, Ellyn Pearson |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 22nd, 2006 |
| Last updated | Feb 17th, 2012 - about 13 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 | 1144336082 | NPPES |
| North Carolina | MEDICAID | 8966391 |
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