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Contact Information

ASHTON C ELLISON, MD
1501 KINGS HWY
INTERNAL MEDICINE
SHREVEPORT, LA71103-4228
 Phone: 318-813-2528
 Fax: 318-813-2528
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for ASHTON C ELLISON · (Male)

NPI Number 1750744140
Status Active
Credentials MD
Entity Individual
Enumeration date 04/01/2016
Last updated 10/29/2025 - About 7 months ago
Sole proprietor 1 Yes
Identifiers
  • TX License # BP10061672
  • TX License # S6170
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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