Ellerson, Dawn L
Ellerson, Dawn L is an individual health care provider with primary practice located at 3701 S Higuera St Ste 200, San Luis Obispo CA 93401-7462. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is her primary health care specialty. Ellerson, Dawn L can be contacted via phone (805) 541-6033.Contact Information
Primary practice address
3701 S Higuera St Ste 200
San Luis Obispo CA 93401-7462
Phone: (805) 541-6033
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | G86079 | California |
| Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine | 207ZP0105X | G86079 | California |
Profile Details
| NPI number | 1164465340 |
|---|---|
| LBN Legal business name | Ellerson, Dawn L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Jun 23rd, 2008 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164465340 | NPPES |
| California | MEDICAID | 00G860790 | |
| California | MEDICAID | GR0058760 | |
| California | MEDICAID | LAB43503F |
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