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Contact Information

ERIC L ELLIS, MD
77 LINCOLN BLVD
1
LINCOLN, CA95648
 Phone: 916-258-2751
 Fax: 916-258-7172
 Website: http://www.lincolnurgentcare.com
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for ERIC L ELLIS · (Male)

NPI Number 1215968409
Status Active
Credentials MD
Entity Individual
Enumeration date 07/05/2006
Last updated 01/23/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # A86317
  • CA Medicaid 00A863170
  • CA Other CA333419 MC PIN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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