Ellsworth, Amy L.

Ellsworth, Amy L. is an individual health care provider with primary practice located at 524 12Th Street , Huntington Beach CA 92648-4034. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Ellsworth, Amy L. can be contacted via phone (714) 376-4542.

Contact Information

Primary practice address
524 12Th Street Huntington Beach CA 92648-4034
Phone: (714) 376-4542
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 1035075

Profile Details

NPI number 1518233030
LBN Legal business name Ellsworth, Amy L.
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2012
Last updated Mar 29th, 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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