Ellsworth, Charles Paul

Ellsworth, Charles Paul is an individual health care provider with primary practice located at 7057 N Clio Rd , Mount Morris MI 48458-8261. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ellsworth, Charles Paul can be contacted via phone (810) 670-0200.

Contact Information

Primary practice address
7057 N Clio Rd Mount Morris MI 48458-8261
Phone: (810) 670-0200
Fax: (810) 670-0196
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5101015196 Michigan

Profile Details

NPI number 1780786707
LBN Legal business name Ellsworth, Charles Paul
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2006
Last updated Dec 9th, 2014 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1780786707 NPPES
Missouri Other 1051020 MCLAREN HEALTH PLAN
Missouri Other 178241 MCLAREN HEALTH PLAN
Missouri Other 1780786707 MCLAREN HEALTH PLAN
Missouri Other 080G3610660 MCLAREN HEALTH PLAN
Missouri MEDICAID 1780786707 MCLAREN HEALTH PLAN
Missouri Other 381908328 MCLAREN HEALTH PLAN
Missouri Other 381908328-446 MCLAREN HEALTH PLAN
Missouri Other 080G310660 MCLAREN HEALTH PLAN
Missouri Other 0992950 MCLAREN HEALTH PLAN
Missouri Other 19870 MCLAREN HEALTH PLAN

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