| Joel Ellison, M.d., L.l.c. | |
|
3001 Highland Ave Cincinnati OH 45219-2315 | |
| (513) 961-8846 | |
| Not Available |
| Full Name | Joel Ellison, M.d., L.l.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3001 Highland Ave, Cincinnati, Ohio |
| Authorized Official Name and Position | Joel Ellison (PSYCHIATRIST) |
| Authorized Official Contact | 5139618846 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joel Ellison, M.d., L.l.c. 3001 Highland Ave Cincinnati OH 45219-2315 Ph: (513) 961-8846 | Joel Ellison, M.d., L.l.c. 3001 Highland Ave Cincinnati OH 45219-2315 Ph: (513) 961-8846 |
| NPI Number | 1629505128 |
|---|---|
| Provider Enumeration Date | 05/15/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 8729356860 |
|---|---|
| Medicare Enrollment ID | O20170614002078 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629505128 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 35125498 (Ohio) | Primary |
| Provider Name | Joel B Ellison |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134462641 PECOS PAC ID: 2365685245 Enrollment ID: I20170524001476 |
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