Dragsten, Ellen Virginia

Dragsten, Ellen Virginia is an individual health care provider with primary practice located at 68 Marco Drive Se , Decatur AL 35603-0000. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Dragsten, Ellen Virginia can be contacted via phone (256) 432-2007.

Contact Information

Primary practice address
68 Marco Drive Se Decatur AL 35603-0000
Phone: (256) 432-2007
Fax: (256) 432-2010
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 00020153 Alabama

Profile Details

NPI number 1891726527
LBN Legal business name Dragsten, Ellen Virginia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Dec 4th, 2012 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1891726527 NPPES
Alabama MEDICAID 630102047
Alabama Other 51525668

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