Richard Leroy Ellis in Birmingham - General Practice
Richard Leroy Ellis - NPI 1104010206
Richard Leroy Ellis is a General Practice in Birmingham, Alabama. Richard Leroy Ellis practices all healthcare services and medical treatments related to General Practice. The NPI Number for Richard Leroy Ellis is 1104010206. The last update date is 2007-08-31.
Richard Leroy Ellis's current location address is 2657 Park Lane Ct East--unit F, Birmingham, Alabama. You can contact this provider via phone number 2058791386. The mailing address for Richard Leroy Ellis is 2657 Park Lane Ct East--unit F, Birmingham, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard Leroy Ellis |
|---|---|
| Address | 2657 Park Lane Ct East--unit F, Birmingham, Alabama |
| Phone Number | 2058791386 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1104010206 |
|---|---|
| Provider Enumeration Date | 2007-08-31 |
| Last Updated Date | 2007-08-31 |
Provider Mailing Address Detail
| Address | 2657 Park Lane Ct East--unit F |
|---|---|
| City | Birmingham |
| State | Alabama (AL) |
| Post Code | 35223 |
| Phone Number | 2058791386 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | DO145 |
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Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Richard Leroy Ellis?
The Richard Leroy Ellis has been issued the NPI (National Provider Identifier) 1104010206 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Richard Leroy Ellis?
The Richard Leroy Ellis is situated at 2657 Park Lane Ct East--Unit F, in the city of Birmingham, state of AL, with the zip code 35223.
What is Richard Leroy Ellis's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Richard Leroy Ellis's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 208D00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1104010206 to Richard Leroy Ellis?
The Centers for Medicare & Medicaid Services originally issued the 1104010206 to Richard Leroy Ellis on 2007-08-31.
As of what date were the Richard Leroy Ellis's details last updated?
The information pertaining to the Richard Leroy Ellis, including its address, specialty, and other details, was most recently updated on 2007-08-31.
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