Ellertson, David Garth
Ellertson, David Garth is an individual health care provider with primary practice located at 2555 Court Dr Ste 450 , Gastonia NC 28054-2191. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Ellertson, David Garth can be contacted via phone (704) 671-7652.Contact Information
Primary practice address
2555 Court Dr Ste 450
Gastonia NC 28054-2191
Phone: (704) 671-7652
Fax: (704) 671-7656
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 2005-01291 | North Carolina |
Profile Details
| NPI number | 1588657258 |
|---|---|
| LBN Legal business name | Ellertson, David Garth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 26th, 2005 |
| Last updated | Jan 27th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588657258 | NPPES |
| North Carolina | MEDICAID | 1588657258 |
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