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Contact Information

DAVID ELLIS, DPM
10463 DOUBLE R BLVD
RENO, NV89521-5866
 Phone: 775-358-2542
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for DAVID ELLIS · (Male)

NPI # 1790349769
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 04/25/2019
Last updated 08/10/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • NV License # 2082
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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