Barton, Ellen B

Barton, Ellen B is an individual health care provider with primary practice located at 6201 Roosevelt Rd , Berwyn IL 60402-1108. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Barton, Ellen B can be contacted via phone (708) 386-0845.

Contact Information

Primary practice address
6201 Roosevelt Rd Berwyn IL 60402-1108
Fax: (708) 386-8472
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 209003213 Illinois

Profile Details

NPI number 1336367036
LBN Legal business name Barton, Ellen B
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2007
Last updated Oct 18th, 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 1336367036 NPPES
Illinois MEDICAID 209003213

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