Ellisen, Dimitrius Dean

Ellisen, Dimitrius Dean is an individual health care provider with primary practice located at 8945 Golf Links Rd , Oakland CA 94605-4124. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Health Information, which is considered as his primary health care specialty. Ellisen, Dimitrius Dean can be contacted via phone (510) 317-1444.

Contact Information

Primary practice address
8945 Golf Links Rd Oakland CA 94605-4124
Phone: (510) 317-1444
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Health Information 247000000X

Profile Details

NPI number 1902360902
LBN Legal business name Ellisen, Dimitrius Dean
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2019
Last updated May 2nd, 2022 - about 3 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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