Ellerson, Dawn L

Ellerson, Dawn L is an individual health care provider with primary practice located at 3701 S Higuera St Ste 200, San Luis Obispo CA 93401-7462. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is her primary health care specialty. Ellerson, Dawn L can be contacted via phone (805) 541-6033.

Contact Information

Primary practice address
3701 S Higuera St Ste 200 San Luis Obispo CA 93401-7462
Phone: (805) 541-6033
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X G86079 California
Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine 207ZP0105X G86079 California

Profile Details

NPI number 1164465340
LBN Legal business name Ellerson, Dawn L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Jun 23rd, 2008 - 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 1164465340 NPPES
California MEDICAID 00G860790
California MEDICAID GR0058760
California MEDICAID LAB43503F

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