Ellsworth, Mehrl Keck

Ellsworth, Mehrl Keck is an individual health care provider with primary practice located at 111 W Wigwam Blvd Suite A, Litchfield Park AZ 85340-4636. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Ellsworth, Mehrl Keck can be contacted via phone (623) 935-9376.

Contact Information

Primary practice address
111 W Wigwam Blvd Suite A Litchfield Park AZ 85340-4636
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D2187 Arizona

Profile Details

NPI number 1659458651
LBN Legal business name Ellsworth, Mehrl Keck
Credentials D.D.S.,P.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 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.

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