Individual
JOSEPH MAURICE ELLIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
501 S DETROIT AVE, TOLEDO, OH 43609-1931
(419) 699-5734
Mailing address
1770 HAMILTON ST, TOLEDO, OH 43607-4382
(419) 699-5734
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
UZ585762
OH
376J00000X
Homemaker
Primary
UZ585762
OH
Other
Enumeration date
01/10/2024
Last updated
04/13/2026
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