Ellsesser, Anna Maria Louise

Ellsesser, Anna Maria Louise is an sole proprietor health care provider with primary practice located at 30588 Center Ridge Rd , Westlake OH 44145. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Ellsesser, Anna Maria Louise can be contacted via phone (440) 892-5367.

Contact Information

Primary practice address
30588 Center Ridge Rd Westlake OH 44145
Phone: (440) 892-5367
Fax: (440) 249-5094
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 5569 Ohio
Eye and Vision Services Providers / Optometrist 152W00000X 1657T Kentucky
Eye and Vision Services Providers / Optometrist 152W00000X 5569/T2483 Ohio

Profile Details

NPI number 1124104690
LBN Legal business name Ellsesser, Anna Maria Louise
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 27th, 2006
Last updated Feb 3rd, 2012 - about 12 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 1124104690 NPPES
Ohio MEDICAID 3016711

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