Ellsworth, Charles A

Ellsworth, Charles A is an individual health care provider with primary practice located at 1 Atwell Rd , Cooperstown NY 13326-1301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Ellsworth, Charles A can be contacted via phone (607) 547-3909.

Contact Information

Primary practice address
1 Atwell Rd Cooperstown NY 13326-1301
Fax: (607) 547-6325
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 106484 New York

Profile Details

NPI number 1174580013
LBN Legal business name Ellsworth, Charles A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Jul 8th, 2007 - about 17 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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