Individual
CLARENCE O'NEIL ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 BLYTHE BLVD, CHARLOTTE, NC 28203-5814
(704) 355-9047
Mailing address
PO BOX 601372, CHARLOTTE, NC 28260-1372
(704) 355-9047
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
27910
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0278J
BCBS
NC
01
—
206134F
MEDICARE LEGACY NUMBER
—
05
—
8930620
—
NC
05
—
N27910
—
SC
Enumeration date
04/05/2006
Last updated
02/17/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us