Rodarte, Ellenbeth Grossnickle
Rodarte, Ellenbeth Grossnickle is an individual health care provider with primary practice located at 2600 Via De La Valle Ste 200, Del Mar CA 92014-1992. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Rodarte, Ellenbeth Grossnickle can be contacted via phone (858) 499-2708.Contact Information
Primary practice address
2600 Via De La Valle Ste 200
Del Mar CA 92014-1992
Phone: (858) 499-2708
Fax: (858) 309-3269
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A76932 | California |
Profile Details
| NPI number | 1205808714 |
|---|---|
| LBN Legal business name | Rodarte, Ellenbeth Grossnickle |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2006 |
| Last updated | Jun 6th, 2014 - about 12 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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