Dy, Ellen Ablog

Dy, Ellen Ablog is an individual health care provider with primary practice located at 1035 Wellington Ave , Grand Junction CO 81501-8104. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Dy, Ellen Ablog can be contacted via phone (970) 242-6600.

Contact Information

Primary practice address
1035 Wellington Ave Grand Junction CO 81501-8104
Fax: (970) 241-8443
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X DR.0058821 Colorado

Profile Details

NPI number 1053317578
LBN Legal business name Dy, Ellen Ablog
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Oct 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1053317578 NPPES
Iowa MEDICAID 0139659

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