Ellsworth, Erik G
Ellsworth, Erik G is an individual health care provider with primary practice located at 1501 N Gilbert Rd Ste 203 , Gilbert AZ 85234-2394. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Ellsworth, Erik G can be contacted via phone (602) 933-3366.Contact Information
Primary practice address
1501 N Gilbert Rd Ste 203
Gilbert AZ 85234-2394
Phone: (602) 933-3366
Fax: (602) 933-4264
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | 41569 | Arizona |
Profile Details
| NPI number | 1306826896 |
|---|---|
| LBN Legal business name | Ellsworth, Erik G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 19th, 2006 |
| Last updated | Sep 18th, 2018 - about 8 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 | 1306826896 | NPPES |
| Arizona | MEDICAID | 404994 |
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