Ethan R Ellis in Fort Collins - Cardiovascular Disease

Ethan R Ellis - NPI 1316110208

Ethan R Ellis is a Cardiovascular Disease in Fort Collins, Colorado. Ethan R Ellis practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Ethan R Ellis is 1316110208. The last update date is 2016-03-28.

Ethan R Ellis's current location address is 2121 E Harmony Rd, Fort Collins, Colorado. You can contact this provider via phone number 9702211000. The mailing address for Ethan R Ellis is 2121 E Harmony Rd, Fort Collins, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Name Ethan R Ellis
Address 2121 E Harmony Rd, Fort Collins, Colorado
Phone Number 9702211000
Fax Number
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1316110208
Provider Enumeration Date 2008-04-11
Last Updated Date 2016-03-28

Provider Mailing Address Detail

Address 2121 E Harmony Rd
City Fort Collins
State Colorado (CO)
Post Code 805283400
Phone Number 9702211000
Fax Number

Provider's Primary Taxonomy Detail

Speciality Cardiovascular Disease
Taxonomy 207Rc0000X
Licence No DR.0053902
Definition:
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
87529351 CO --

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FAQs about Ethan R Ellis

What is the unique 10-digit identifier code assigned to Ethan R Ellis by the Centers for Medicare & Medicaid Services?

The Ethan R Ellis has been issued the NPI (National Provider Identifier) 1316110208 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Ethan R Ellis is physically located?

The Ethan R Ellis is physically situated at the following address: 2121 E Harmony Rd, Fort Collins, CO, 805283400.

What is the Ethan R Ellis's specialty and taxonomy code?

The Ethan R Ellis's specialty is Cardiovascular Disease, and the corresponding taxonomy code is 207Rc0000X.

When did the Ethan R Ellis receive its 1316110208?

The Ethan R Ellis was issued its 1316110208 on 2008-04-11, which is the date when the organization was assigned this unique identifier.

When was the information regarding Ethan R Ellis most recently updated?

The details pertaining to the Ethan R Ellis, including its address, specialty, and other relevant information, were last refreshed on 2016-03-28.

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