Ted Ellquist, Pt

LBN: Ted Ellquist, Pt
Ted Ellquist, Pt is an health care organization with primary practice located at 2466 Murdock Dr , Santa Rosa CA 95404-2207. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Ted Ellquist, Pt can be contacted via phone (503) 358-8278, or through Ellquist, Ted Ian via phone (503) 358-8278.

Contact Information

Primary practice address
2466 Murdock Dr Santa Rosa CA 95404-2207
Phone: (503) 358-8278
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ellquist, Ted Ian Physical Therapist (PT)
Phone: (503) 358-8278

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X 36493 California

Profile Details

NPI number 1053422485
LBN Legal business name Ted Ellquist, Pt
DBA Doing business as Ted Ellquist, Pt
Authorized official Ellquist, Ted Ian Physical Therapist (PT)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated Sep 20th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053422485 NPPES
California Other 1770516734 PERSONAL NPI
California Other 36493 PERSONAL NPI

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