Ellingson, Amy E

Ellingson, Amy E is an individual health care provider with primary practice located at 415 Hospital Way , Brewster WA 98812. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Ellingson, Amy E can be contacted via phone (509) 668-9374.

Contact Information

Primary practice address
415 Hospital Way Brewster WA 98812
Fax: (509) 689-9106
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00041306 Washington

Profile Details

NPI number 1235102856
LBN Legal business name Ellingson, Amy E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Jun 10th, 2022 - about 2 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 1235102856 NPPES
Washington MEDICAID 8315186

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