Ellsworth, Carol Marie

Ellsworth, Carol Marie is an sole proprietor health care provider with primary practice located at Psc 476 Box 25 , Fpo AP 96322-0001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Ellsworth, Carol Marie can be contacted via phone (315) 252-2589.

Contact Information

Primary practice address
Psc 476 Box 25 Fpo AP 96322-0001
Phone: (315) 252-2589
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 187197 North Carolina

Profile Details

NPI number 1720352529
LBN Legal business name Ellsworth, Carol Marie
Credentials NP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 27th, 2012
Last updated Aug 22nd, 2023 - about last year

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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