Individual
CRAIG W. ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
4 EASTERN BLVD, YORK, PA 17402-2801
(717) 757-2818
(717) 757-9178
Mailing address
4 EASTERN BLVD, YORK, PA 17402-2801
(717) 757-2818
(717) 757-9178
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC001626L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0069123000
HIGHMARK
PA
01
—
02320100
CAPITAL BLUE CROSS
PA
Enumeration date
06/30/2006
Last updated
06/22/2010
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