Ellner, Scott
Ellner, Scott is an individual health care provider with primary practice located at 1000 Asylum Ave 4320, Hartford CT 06105-1770. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Ellner, Scott can be contacted via phone (860) 714-5237.Contact Information
Primary practice address
1000 Asylum Ave 4320
Hartford CT 06105-1770
Phone: (860) 714-5237
Fax: (860) 714-8096
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 043507 | Connecticut |
Profile Details
| NPI number | 1760484182 |
|---|---|
| LBN Legal business name | Ellner, Scott |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2005 |
| Last updated | Mar 9th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760484182 | NPPES |
| Connecticut | MEDICAID | 001435074 |
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