National Provider Identifier Database

RICHARD L ELLIS, MD – NPI #1104010206
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.


Contact Information

RICHARD L ELLIS, MD
2657 PARK LANE CT EAST--UNIT F
BIRMINGHAM, AL35223
Phone: 205-879-1386
Fax:
Website:
Specialty Taxonomy Code
* General Practice 208D00000X

* Indicates primary specialty

NPI Profile & details for RICHARD L ELLIS

NPI Number 1104010206
Credentials MD
Entity Individual
Enumeration date 08/31/2007
Last updated 08/31/2007 - About 19 years ago
Sole proprietor1 Yes
Identifiers
  • AL License #: DO145
Hospital affiliation n/a

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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