MR. ANTHONY JEROME ELLIS C.P. NPI 1124311162

NPI Information

NPI: 1124311162
Provider Name: MR. ANTHONY JEROME ELLIS, C.P.
Classification: Specialist - 1744P3200X
Entity Type: Individual

Specialization: Prosthetics Case Management

Address:
923 W FOOTHILL BLVD
UPLAND, CA
ZIP 91786
Phone: (909) 982-3434
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MR. Anthony Jerome Ellis, C.P. is a prosthetics case management specialist in Upland, CA. MR. Anthony Jerome Ellis, C.P. NPI is 1124311162. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

923 W FOOTHILL BLVD
UPLAND, CA
ZIP 91786-729
Phone: (909) 982-3434

The enumeration date for this NPI number is 5/24/2011 and was last updated on 5/24/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1744P3200X	Specialist	Prosthetics Case Management		CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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