Ellsworth, David T

Ellsworth, David T is an individual health care provider with primary practice located at 4121 E Valley Auto Dr Ste 110, Mesa AZ 85206-4632. He recently has 3 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Sports Medicine. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Ellsworth, David T can be contacted via phone (480) 892-1540.

Contact Information

Primary practice address
4121 E Valley Auto Dr Ste 110 Mesa AZ 85206-4632
Phone: (480) 892-1540
Fax: (480) 892-2243
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 0786 Arizona
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 0786 Arizona
Podiatric Medicine & Surgery Service Providers / Sports Medicine 213ES0000X 0786 Arizona

Profile Details

NPI number 1528355708
LBN Legal business name Ellsworth, David T
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2011
Last updated May 5th, 2016 - about 8 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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