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Contact Information

CHRISTIAN ELLIS, DO
4140 W MEMORIAL RD
STE. 621
OKLAHOMA CITY, OK73120-8366
 Phone: 405-749-4231
 Fax: 405-749-4234
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Neuromusculoskeletal Medicine & OMM

204D00000X 12 Physician/Osteopathic Manipulative Medicine
Indicates primary specialty

NPI Profile & details for CHRISTIAN ELLIS · (Male)

NPI # 1205832607
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/22/2005
Last updated 01/31/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • OK License # 3660
  • OK Medicaid 200084540A
  • Other P00690379 RR MEDICARE
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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