Hjerpe, David Ellsworth

Hjerpe, David Ellsworth is an individual health care provider with primary practice located at 45280 Seeley Dr 1St Flr / Urgent Care, La Quinta CA 92253-6834. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hjerpe, David Ellsworth can be contacted via phone (760) 610-7210.

Contact Information

Primary practice address
45280 Seeley Dr 1St Flr / Urgent Care La Quinta CA 92253-6834
Phone: (760) 610-7210
Fax: (760) 564-0101
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G 80101 California

Profile Details

NPI number 1578507216
LBN Legal business name Hjerpe, David Ellsworth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Feb 25th, 2016 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1578507216 NPPES
California MEDICAID 00G801012

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