Ellsworth, J. Bryan

Ellsworth, J. Bryan is an sole proprietor health care provider with primary practice located at 736 S 900 E Ste 108 , St George UT 84790. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Urology, Other Service Providers / Specialist. Other Service Providers / Specialist is his primary health care specialty. Ellsworth, J. Bryan can be contacted via phone (435) 628-3606.

Contact Information

Primary practice address
736 S 900 E Ste 108 St George UT 84790
Phone: (435) 628-3606
Fax: (435) 628-8404
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 15297 Nevada
Other Service Providers / Specialist 174400000X 188550-1205 Utah

Profile Details

NPI number 1083619043
LBN Legal business name Ellsworth, J. Bryan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2005
Last updated Jun 16th, 2022 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1083619043 NPPES
Utah Other 005575530 HUMANA
Utah Other 6411882 HUMANA
Utah Other 751575 HUMANA
Utah Other 870562879ELL HUMANA
Utah Other V108245 HUMANA
Utah Other 68471 HUMANA
Utah Other 18855012000001 HUMANA
Utah Other 340020123 HUMANA
Utah Other 107011798101 HUMANA
Utah Other QM0000076522 HUMANA

Popular Providers