Ellingwood, Beth Leah
Ellingwood, Beth Leah is an individual health care provider with primary practice located at 77 Hospital Avenue, Suite 302 Ambulatory Care Center, North Adams MA 01247-2538. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Ellingwood, Beth Leah can be contacted via phone (413) 663-8365.Contact Information
Primary practice address
77 Hospital Avenue, Suite 302 Ambulatory Care Center
North Adams MA 01247-2538
Phone: (413) 663-8365
Fax: (413) 662-2363
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 35077043 | Ohio |
Profile Details
| NPI number | 1326000738 |
|---|---|
| LBN Legal business name | Ellingwood, Beth Leah |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 3rd, 2006 |
| Last updated | Nov 9th, 2011 - about 15 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 | 1326000738 | NPPES |
| Ohio | MEDICAID | 2230535 |
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