Disbrow, David Ellis

Disbrow, David Ellis is an individual health care provider with primary practice located at 6121 N Thesta St Ste 202 , Fresno CA 93710-5294. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is his primary health care specialty. Disbrow, David Ellis can be contacted via phone (559) 440-0283.

Contact Information

Primary practice address
6121 N Thesta St Ste 202 Fresno CA 93710-5294
Phone: (559) 440-0283
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 32837 South Carolina
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X A148973 California

Profile Details

NPI number 1730406901
LBN Legal business name Disbrow, David Ellis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2010
Last updated Aug 18th, 2022 - about 2 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 1730406901 NPPES
South Carolina MEDICAID 328372

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