EDDIE ELLIS
NPI 1972919009
Clinic/Center - Community Health in Milwaukee, WI
About Eddie Ellis NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EDDIE ELLIS (NPI 1972919009) is an individual community health provider in Milwaukee, Wisconsin and active in the NPI registry since July 2014.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Eddie Ellis's NPI number?
The NPI number for Eddie Ellis is 1972919009. It was assigned to this individual provider in the NPPES registry on July 9, 2014.
Where is Eddie Ellis located?
Eddie Ellis practices at 8808 W Mill Rd Apt 1, Milwaukee, WI 53225. The listed phone number is (414) 610-4318.
What is Eddie Ellis's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.
When was this NPI record last updated?
The NPPES record for Eddie Ellis was last updated on July 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Eddie Ellis · NPI 1972919009
Community Health provider in Milwaukee, Wisconsin. Individual provider, active in the CMS NPPES registry since July 9, 2014.
## Identity
- **NPI:** 1972919009 (Entity type: Individual)
- **Enumerated:** July 9, 2014
- **Primary specialty:** Clinic/Center - Community Health · taxonomy 261QC1500X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 8808 W MILL RD APT 1, Milwaukee, WI 53225-1853
- **Phone:** (414) 610-4318
## Record status
- **NPPES last updated:** July 9, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1972919009) · Data from the CMS NPPES public registry.