Ancello, Sara Elizabeth
Ancello, Sara Elizabeth is an sole proprietor health care provider with primary practice located at 3638 E Southern Ave Ste C108 , Mesa AZ 85206-2563. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is her primary health care specialty. Ancello, Sara Elizabeth can be contacted via phone (480) 834-0771.Contact Information
Primary practice address
3638 E Southern Ave Ste C108
Mesa AZ 85206-2563
Phone: (480) 834-0771
Fax: (480) 834-1136
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 007159 | Arizona |
Profile Details
NPI number | 1720420557 |
---|---|
LBN Legal business name | Ancello, Sara Elizabeth |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 22nd, 2013 |
Last updated | Dec 21st, 2020 - about 5 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1720420557 | NPPES |
Arizona | MEDICAID | 526023 |
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