Ellsworth, Rebecca Ann

Ellsworth, Rebecca Ann is an sole proprietor health care provider with primary practice located at 1011 W Maple St Suite 300, Kalamazoo MI 49008-1899. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Ellsworth, Rebecca Ann can be contacted via phone (269) 343-7811.

Contact Information

Primary practice address
1011 W Maple St Suite 300 Kalamazoo MI 49008-1899
Phone: (269) 343-7811
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 2902005366 Michigan

Profile Details

NPI number 1356619084
LBN Legal business name Ellsworth, Rebecca Ann
Credentials RDH, COM
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 8th, 2011
Last updated Dec 8th, 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.

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