Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EDDIE ELLIS
Active Sole ProprietorEDDIE ELLIS is a Community Health Center healthcare provider located in MILWAUKEE, Wisconsin. NPI 1972919009 is currently active in the NPPES registry. Verify at CMS.
Community Health Center · MILWAUKEE, WI
Registration Details
- NPI Number
- 1972919009
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 9, 2014 (11.95378111199 yrs)
- Last Updated
- Jul 9, 2014
- Sole Proprietor
- Yes
Practice Information
- Address
-
8808 W MILL RD APT 1MILWAUKEE, WI, 532251853Browse WI providers · Browse ZIP 53225
- Phone
- 4146104318
- Primary Specialty
-
Community Health Center
261QC1500X
Other Community Health Center Providers in MILWAUKEE, WI
| Name | Credential | NPI |
|---|---|---|
| NICOSHA SHANAE HARRIS | — | 1215661061 |
| DEONNA RICE | — | 1679426621 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.