Ellertson, David Garth

Ellertson, David Garth is an individual health care provider with primary practice located at 2555 Court Dr Ste 450 , Gastonia NC 28054-2191. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Ellertson, David Garth can be contacted via phone (704) 671-7652.

Contact Information

Primary practice address
2555 Court Dr Ste 450 Gastonia NC 28054-2191
Phone: (704) 671-7652
Fax: (704) 671-7656
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 2005-01291 North Carolina

Profile Details

NPI number 1588657258
LBN Legal business name Ellertson, David Garth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2005
Last updated Jan 27th, 2020 - about 6 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 1588657258 NPPES
North Carolina MEDICAID 1588657258

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