Ellsworth, Andrew R
Ellsworth, Andrew R is an individual health care provider with primary practice located at 400 22Nd Ave , Brookings SD 57006-2497. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ellsworth, Andrew R can be contacted via phone (605) 697-9500.Contact Information
Primary practice address
400 22Nd Ave
Brookings SD 57006-2497
Phone: (605) 697-9500
Fax: (605) 697-6939
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 8575 | South Dakota |
Profile Details
| NPI number | 1568690758 |
|---|---|
| LBN Legal business name | Ellsworth, Andrew R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 25th, 2009 |
| Last updated | Sep 19th, 2012 - 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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