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Contact Information

RICHARD L ELLIS, MD
2657 PARK LANE CT EAST--UNIT F
BIRMINGHAM, AL35223
 Phone: 205-879-1386
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

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

NPI Number 1104010206
Status Active
Credentials MD
Entity Individual
Enumeration date 08/31/2007
Last updated 08/31/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • AL License # DO145
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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