Deconinck, Ellen

Deconinck, Ellen is an individual health care provider with primary practice located at 701 E El Camino Real , Mountain View CA 94040-2833. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Deconinck, Ellen can be contacted via phone (650) 934-7676.

Contact Information

Primary practice address
701 E El Camino Real Mountain View CA 94040-2833
Phone: (650) 934-7676
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X A79762 California

Profile Details

NPI number 1114977865
LBN Legal business name Deconinck, Ellen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Nov 30th, 2011 - about 13 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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