Individual
DR. JOEL BENJAMIN ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
260 STETSON ST STE 3200, CINCINNATI, OH 45267-0559
(513) 558-5100
Mailing address
260 STETSON ST STE 3200, PO BOX 670559, CINCINNATI, OH 45267-0559
(513) 558-5100
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
57.023205
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2013
Last updated
10/14/2013
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