Stacy Brian Ellison in Louisville - General Practice
Stacy Brian Ellison - NPI 1093843484
Stacy Brian Ellison is a General Practice in Louisville, Kentucky. Stacy Brian Ellison practices all healthcare services and medical treatments related to General Practice. The NPI Number for Stacy Brian Ellison is 1093843484. The last update date is 2007-07-08.
Stacy Brian Ellison's current location address is 2831 S Hurstbourne Pkwy, Louisville, Kentucky. You can contact this provider via phone number 5024910330 and fax number 5024917431. The mailing address for Stacy Brian Ellison is 2831 S Hurstbourne Pkwy, Louisville, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacy Brian Ellison |
|---|---|
| Address | 2831 S Hurstbourne Pkwy, Louisville, Kentucky |
| Phone Number | 5024910330 |
| Fax Number | 5024917431 |
| Sole Proprietor | Y |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1093843484 |
|---|---|
| Provider Enumeration Date | 2007-02-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2831 S Hurstbourne Pkwy |
|---|---|
| City | Louisville |
| State | Kentucky (KY) |
| Post Code | 402204112 |
| Phone Number | 5024910330 |
| Fax Number | 5024917431 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 5989 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique identifier code issued to Stacy Brian Ellison by the Centers for Medicare & Medicaid Services?
The Stacy Brian Ellison has been assigned the NPI (National Provider Identifier) 1093843484. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Stacy Brian Ellison's physical address?
The Stacy Brian Ellison is physically located at 2831 S Hurstbourne Pkwy, in the city of Louisville, KY, with the postal code 402204112.
What is Stacy Brian Ellison's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Stacy Brian Ellison's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.
On what date did the Stacy Brian Ellison receive its 1093843484 assignment from the Centers for Medicare & Medicaid Services?
The Stacy Brian Ellison was assigned its 1093843484 by the Centers for Medicare & Medicaid Services on 2007-02-28.
As of what date were the Stacy Brian Ellison's details last updated?
The information pertaining to the Stacy Brian Ellison, including its address, specialty, and other details, was most recently updated on 2007-07-08.