Ellsworth, Craig C.

Ellsworth, Craig C. is an sole proprietor health care provider with primary practice located at 826 N Mullan Rd Ste C, Spokane Valley WA 99206-4094. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Ellsworth, Craig C. can be contacted via phone (509) 924-1580.

Contact Information

Primary practice address
826 N Mullan Rd Ste C Spokane Valley WA 99206-4094
Phone: (509) 924-1580
Fax: (509) 924-1619
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X B38275 California
Dental Providers / Dentist 122300000X DE60390327 Washington

Profile Details

NPI number 1588795736
LBN Legal business name Ellsworth, Craig C.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 8th, 2007
Last updated Feb 20th, 2014 - about 12 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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