Dejong, Ellen Marie

Dejong, Ellen Marie is an individual health care provider with primary practice located at 10121 Pine Ave , Truckee CA 96161-4856. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is her primary health care specialty. Dejong, Ellen Marie can be contacted via phone (510) 307-6773.

Contact Information

Primary practice address
10121 Pine Ave Truckee CA 96161-4856
Phone: (510) 307-6773
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A151834 California
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X A151834 California

Profile Details

NPI number 1154711836
LBN Legal business name Dejong, Ellen Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2015
Last updated Jun 8th, 2023 - about last year

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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