Ellsworth, Beau J
Ellsworth, Beau J is an individual health care provider with primary practice located at 32 Main St Ste B , Park Ridge IL 60068. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Ellsworth, Beau J can be contacted via phone (847) 318-1144.Contact Information
Primary practice address
32 Main St Ste B
Park Ridge IL 60068
Phone: (847) 318-1144
Fax: (847) 318-8866
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 038011367 | Illinois |
Profile Details
| NPI number | 1740388263 |
|---|---|
| LBN Legal business name | Ellsworth, Beau J |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Aug 21st, 2018 - about 6 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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