Tinsley, Ellis A

Tinsley, Ellis A is an sole proprietor health care provider with primary practice located at 1717 Shipyard Blvd Ste 200 , Wilmington NC 28403-8019. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Tinsley, Ellis A can be contacted via phone (910) 769-2583.

Contact Information

Primary practice address
1717 Shipyard Blvd Ste 200 Wilmington NC 28403-8019
Fax: (910) 769-3531
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 35569 North Carolina

Profile Details

NPI number 1285614578
LBN Legal business name Tinsley, Ellis A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 20th, 2006
Last updated Oct 12th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285614578 NPPES
North Carolina MEDICAID 8983563

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