Dr. William Joe Ellis
Family Doctor Neuromusculoskeletal Medicine (NMM)
424 W Spencer Ave
Marion
, Indiana 46952-3809
Dr. William Joe Ellis
Family Doctor Neuromusculoskeletal Medicine (NMM)
424 W Spencer Ave
Marion
, Indiana 46952-3809
(765) 668-4164
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About
Features
Specialties
- Neuromusculoskeletal Medicine (NMM)
- Family Doctor
Languages spoken
- English
Location
First Address
- Dr. William Joe Ellis
- 424 W Spencer Ave
- Marion, IN
- Zip : 46952-3809
- Fax : (765) 668-4164
- Phone : (765) 662-9866
Second Address
- Dr. William Joe Ellis
- 424 W Spencer Ave
- Marion, IN
- Zip : 46952-3809
- Fax : (765) 668-4164
- Phone : (765) 662-9866
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 02000651A | IN |
| Y | 207Q00000X | Family Doctor | 02000651A | IN |
National Provider Identifier
| NPI | 1477682003 |
|---|---|
| Provider Name | Dr. William Joe Ellis |
| First Address | Marion, IN 46952-3809 |
| Second Address | Marion, IN 46952-3809 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/03/2007 |
| Last Update Date | 08/05/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000084415 | ANTHEM BLUE CROSS (01) | IN |
| 100000720A | (05) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.