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Contact Information

SHAWN M ELLIS, DO
4345 W MEMORIAL RD STE 110
OKLAHOMA CITY, OK73134-1717
 Phone: 405-418-7000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for SHAWN M ELLIS · (Male)

NPI # 1851551790
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/13/2008
Last updated 05/09/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • OK License # 04757
Hospital affiliation(s)
  • MERCY HEALTH CENTER INC - (Acute Care)
    4300 WEST MEMORIAL ROAD
    OKLAHOMA CITY, OK 73120
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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