Ellefsen, Brian K

Ellefsen, Brian K is an individual health care provider with primary practice located at 2100 W Main St , Sedalia MO 65301-2351. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Ellefsen, Brian K can be contacted via phone (660) 826-5750.

Contact Information

Primary practice address
2100 W Main St Sedalia MO 65301-2351
Phone: (660) 826-5750
Fax: (660) 829-5750
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X R5N34 Missouri
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X DOR5N34 Missouri

Profile Details

NPI number 1871694760
LBN Legal business name Ellefsen, Brian K
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Jun 6th, 2022 - about 4 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 1871694760 NPPES
Missouri Other 200015237 RR MEDICARE

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