Warren L Ellison, M.D.

LBN: Warren L Ellison, M.D.
Warren L Ellison, M.D. is an health care organization with primary practice located at 1207 Evergreen Ct , Clarkston WA 99403-2843. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Warren L Ellison, M.D. can be contacted via phone (208) 758-2928, or through Bishop, Jeff J via phone (208) 683-2928.

Contact Information

Primary practice address
1207 Evergreen Ct Clarkston WA 99403-2843
Phone: (208) 758-2928
Fax: (208) 758-2623
Website:
Map and Directions
Authorized official contact:
Name: Bishop, Jeff J
Phone: (208) 683-2928

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00023004 Washington

Profile Details

NPI number 1619176799
LBN Legal business name Warren L Ellison, M.D.
DBA Doing business as
Authorized official Bishop, Jeff J
Entity Organization
Organization subpart 1 No
Enumeration date Jul 17th, 2007
Last updated Apr 11th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619176799 NPPES
Washington MEDICAID 1007293

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