Barnett, Ellen

Barnett, Ellen is an individual health care provider with primary practice located at 175 Concourse Blvd , Santa Rosa CA 95403-8217. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Barnett, Ellen can be contacted via phone (707) 284-9206.

Contact Information

Primary practice address
175 Concourse Blvd Santa Rosa CA 95403-8217
Phone: (707) 284-9206
Fax: (707) 284-9254
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X A368950 California

Profile Details

NPI number 1184778094
LBN Legal business name Barnett, Ellen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2007
Last updated Nov 3rd, 2011 - about 14 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 1184778094 NPPES
California Other 680452627 TAX ID#
California Other A368950 TAX ID#

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