Taylor, Ellis R
Taylor, Ellis R is an individual health care provider with primary practice located at 232 S Woods Mill Rd , Chesterfield MO 63017. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Taylor, Ellis R can be contacted via phone (314) 205-6917.Contact Information
Primary practice address
232 S Woods Mill Rd
Chesterfield MO 63017
Phone: (314) 205-6917
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | R1C18 | Missouri |
Profile Details
| NPI number | 1033229117 |
|---|---|
| LBN Legal business name | Taylor, Ellis R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Jan 2nd, 2013 - about 11 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 | 1033229117 | NPPES |
| Missouri | MEDICAID | 202212783 |
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