Organization Name: | ELLISON MEDICAL LLC |
NPI Number: | 1417374703 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID MICHAEL ELLISON (OWNER) |
Mailing Address: | 7908 Cincinnati Dayton Rd Suite J West Chester |
State: | OH US |
Postal Code: | 450696608 |
Phone Number: | 8884182037 |
Fax Number: | 8884182057 |
NPI Enumeration Date: | 03/25/2014 |
NPI Last Update Date: | 04/27/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 35082208 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |