Ellsworth, June A
Ellsworth, June A is an individual health care provider with primary practice located at 441 Main St , Keene NH 03431. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Ellsworth, June A can be contacted via phone (603) 357-3565.Contact Information
Primary practice address
441 Main St
Keene NH 03431
Phone: (603) 357-3565
Fax: (603) 352-4337
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 0271892308 | New Hampshire |
Profile Details
| NPI number | 1699830166 |
|---|---|
| LBN Legal business name | Ellsworth, June A |
| Credentials | MED ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 26th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1699830166 | NPPES |
| Other | YGG0012345678 | ANTHEM BCBS | |
| MEDICAID | YGG0012345678 | ANTHEM BCBS |
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