Allan, Christian Ellsworth

Allan, Christian Ellsworth is an sole proprietor health care provider with primary practice located at 211 S Crapo St Suite L, Mt Pleasant MI 48858-2961. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as his primary health care specialty. Allan, Christian Ellsworth can be contacted via phone (989) 772-1213.

Contact Information

Primary practice address
211 S Crapo St Suite L Mt Pleasant MI 48858-2961
Phone: (989) 772-1213
Fax: (989) 772-7147
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 4301042647 Michigan

Profile Details

NPI number 1235162702
LBN Legal business name Allan, Christian Ellsworth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 8th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235162702 NPPES
Michigan MEDICAID 3173285

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