Search › Wyoming › 251C00000X
Ellis Charles
NPI 1871029314 · on the registry since 2017 · sole proprietor
Practice
- Address
- 511 Gladstone St
511 Gladstone Street
Sheridan, WY 82801 - Phone
- (307) 752-9082
Registry record
- Primary taxonomy
- 251C00000X
251C00000X
- Licence states on file
- WY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-05-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wyoming