John I Ellis
Emergency Physician Emergency Medical Services
111 Colchester Ave Mchv Campus - Ed
Burlington
, Vermont 05401-1473
John I Ellis
Emergency Physician Emergency Medical Services
111 Colchester Ave Mchv Campus - Ed
Burlington
, Vermont 05401-1473
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About
Features
Specialties
- Emergency Physician
- Emergency Medical Services
Languages spoken
- English
Location
First Address
- John I Ellis
- 111 Colchester Ave Mchv Campus - Ed
- Burlington, VT
- Zip : 05401-1473
- Phone :
Second Address
- John I Ellis
- 111 Colchester Ave Mchv Campus - Ed
- Burlington, VT
- Zip : 05401-1473
- Phone : (802) 847-3982
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FAQs
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What type of doctor is John I Ellis
In what state does John I Ellis practice in?
Where is John I Ellis ’s practice located?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207P00000X | Emergency Physician | 042.0012393 | VT |
| N | 207P00000X | Emergency Physician | 10994 | NV |
| N | 207PE0004X | Emergency Medical Services | 10994 | NV |
National Provider Identifier
| NPI | 1053370858 |
|---|---|
| Provider Name | John I Ellis |
| First Address | Burlington, VT 05401-1473 |
| Second Address | Burlington, VT 05401-1473 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/03/2006 |
| Last Update Date | 19/07/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 100506833 | (05) | NV |
| CC8994 | BC/BS (01) | NV |
| E80667 | (02) | NV |
| P00232612 | RAILROAD MEDICARE (01) | NV |
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.