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Contact Information

JOHN W ELLIS, MD
2500 HOSPITAL DRIVE
MARTINSBURG, WV25401
 Phone: 304-264-1000
 Fax: 304-264-1374
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JOHN W ELLIS · (Male)

NPI # 1275531436
Status Active
Credentials MD
Entity Individual
Enumeration date 07/12/2005
Last updated 03/30/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • WV License # 16478
  • MD Medicaid 0052479000
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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