Dantzler, Anne Ellsworth

Dantzler, Anne Ellsworth is an individual health care provider with primary practice located at 940 Belmont St, Bldg 2, 3Rd Floor, Ward 2-3-B Or A310 Va Boston Healthcare System, Brockton Division, Brockton MA 02301-5596. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Forensic Psychiatry, Allopathic & Osteopathic Physicians / Psychosomatic Medicine, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Dantzler, Anne Ellsworth can be contacted via phone (774) 826-1408.

Contact Information

Primary practice address
940 Belmont St, Bldg 2, 3Rd Floor, Ward 2-3-B Or A310 Va Boston Healthcare System, Brockton Division Brockton MA 02301-5596
Phone: (774) 826-1408
Fax: (774) 826-3217
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Forensic Psychiatry 2084F0202X 44539 Massachusetts
Allopathic & Osteopathic Physicians / Psychosomatic Medicine 2084P0015X 44539 Massachusetts
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 44539 Massachusetts

Profile Details

NPI number 1801984349
LBN Legal business name Dantzler, Anne Ellsworth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated Aug 9th, 2012 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1801984349 NPPES
Massachusetts Other J16409 BLUE CROSS/BLUE SHIELD

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