Ellingwood, Beth Leah

Ellingwood, Beth Leah is an individual health care provider with primary practice located at 77 Hospital Avenue, Suite 302 Ambulatory Care Center, North Adams MA 01247-2538. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Ellingwood, Beth Leah can be contacted via phone (413) 663-8365.

Contact Information

Primary practice address
77 Hospital Avenue, Suite 302 Ambulatory Care Center North Adams MA 01247-2538
Phone: (413) 663-8365
Fax: (413) 662-2363
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 35077043 Ohio

Profile Details

NPI number 1326000738
LBN Legal business name Ellingwood, Beth Leah
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2006
Last updated Nov 9th, 2011 - about 13 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 1326000738 NPPES
Ohio MEDICAID 2230535

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