Ellerbroek, Nancy A

Ellerbroek, Nancy A is an individual health care provider with primary practice located at 25751 Mcbean Pkwy Ste. 110, Valencia CA 91355-3701. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Radiation Oncology. Allopathic & Osteopathic Physicians / Radiation Oncology is her primary health care specialty. Ellerbroek, Nancy A can be contacted via phone (661) 259-2990.

Contact Information

Primary practice address
25751 Mcbean Pkwy Ste. 110 Valencia CA 91355-3701
Phone: (661) 259-2990
Fax: (661) 259-1031
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X G53683 California
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X G53683 California

Profile Details

NPI number 1821071507
LBN Legal business name Ellerbroek, Nancy A
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 27th, 2005
Last updated May 29th, 2015 - about 10 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 1821071507 NPPES
Colorado MEDICAID 19874545
Colorado MEDICAID 00G536830

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