Ellerin, Philip S
Ellerin, Philip S is an individual health care provider with primary practice located at 172 Cambridge Street Suite 204, Burlington MA 01803. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Ellerin, Philip S can be contacted via phone (781) 272-7022.Contact Information
Primary practice address
172 Cambridge Street Suite 204
Burlington MA 01803
Phone: (781) 272-7022
Fax: (781) 272-8786
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 29481 | Massachusetts |
Profile Details
| NPI number | 1619067816 |
|---|---|
| LBN Legal business name | Ellerin, Philip S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 16th, 2006 |
| Last updated | Jun 18th, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619067816 | NPPES |
| Massachusetts | Other | 03-00053 | UNITED HEALTHCARE |
| Massachusetts | Other | 4139 | UNITED HEALTHCARE |
| Massachusetts | Other | 709176 | UNITED HEALTHCARE |
| Massachusetts | Other | B27122 | UNITED HEALTHCARE |
| Massachusetts | Other | M12131 | UNITED HEALTHCARE |
| Massachusetts | Other | 1154420008 | UNITED HEALTHCARE |
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