Ellingsen, Ronald H.

Ellingsen, Ronald H. is an individual health care provider with primary practice located at 9915 N Division St , Spokane WA 99218-1303. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Ellingsen, Ronald H. can be contacted via phone (509) 467-2606.

Contact Information

Primary practice address
9915 N Division St Spokane WA 99218-1303
Fax: (509) 465-8272
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 6353 Washington

Profile Details

NPI number 1780778662
LBN Legal business name Ellingsen, Ronald H.
Credentials D.D.S.,M.S.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Jul 8th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780778662 NPPES
Washington MEDICAID 5033576

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