Tavin, Ellis

Tavin, Ellis is an individual health care provider with primary practice located at 80 Humphreys Center Dr #100, Memphis TN 38120. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Tavin, Ellis can be contacted via phone (901) 761-9030.

Contact Information

Primary practice address
80 Humphreys Center Dr #100 Memphis TN 38120
Phone: (901) 761-9030
Fax: (901) 473-6505
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 9601744 North Carolina
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 41308 Tennessee

Profile Details

NPI number 1326003179
LBN Legal business name Tavin, Ellis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
Last updated Feb 6th, 2020 - about 5 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 1326003179 NPPES
North Carolina MEDICAID 89100200

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