Salloum, Ellis J
Salloum, Ellis J is an individual health care provider with primary practice located at 1225 Campbell Way Ste 101 , Bremerton WA 98310-3323. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Salloum, Ellis J can be contacted via phone (360) 479-4203.Contact Information
Primary practice address
1225 Campbell Way Ste 101
Bremerton WA 98310-3323
Phone: (360) 479-4203
Fax: (253) 426-6344
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | MD60941287 | Washington |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 36455 | Alabama |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD60941287 | Washington |
Profile Details
| NPI number | 1871540088 |
|---|---|
| LBN Legal business name | Salloum, Ellis J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2006 |
| Last updated | Apr 8th, 2022 - about 3 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 | 1871540088 | NPPES |
| Washington | MEDICAID | 2147693 |
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