Ellingson, Andrew N

Ellingson, Andrew N is an individual health care provider with primary practice located at 615 Valley View Dr Suite 202, Moline IL 61265-6180. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Ellingson, Andrew N can be contacted via phone (309) 762-1072.

Contact Information

Primary practice address
615 Valley View Dr Suite 202 Moline IL 61265-6180
Phone: (309) 762-1072
Fax: (309) 762-1094
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 63797-20 Wisconsin
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 036-117228 Illinois
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 35838 Iowa
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 35838 Iowa
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 63797-20 Wisconsin
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 036-117228 Illinois

Profile Details

NPI number 1093864118
LBN Legal business name Ellingson, Andrew N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2007
Last updated Oct 6th, 2017 - about 7 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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