Ellsworth, Robert M

Ellsworth, Robert M is an individual health care provider with primary practice located at 135 Gold Star Blvd , Worcester MA 01606. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Ellsworth, Robert M can be contacted via phone (508) 853-2716.

Contact Information

Primary practice address
135 Gold Star Blvd Worcester MA 01606
Phone: (508) 853-2716
Fax: (508) 856-9025
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 38051 Massachusetts

Profile Details

NPI number 1972578979
LBN Legal business name Ellsworth, Robert M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Feb 3rd, 2009 - about 15 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 1972578979 NPPES
Other 1150042 FIRST HEALTH
Other 5635531 FIRST HEALTH
Other 784213 FIRST HEALTH
Other C05097 FIRST HEALTH
Other 26802 FIRST HEALTH
Other C05097 FIRST HEALTH
Other 042472266 FIRST HEALTH
Other 9900863 FIRST HEALTH
Other AA4010 FIRST HEALTH
Other 042472266 FIRST HEALTH
MEDICAID 2034107 FIRST HEALTH
Other 26802 FIRST HEALTH
Other 300090862 FIRST HEALTH
Other 4476761 FIRST HEALTH
Other C05097 FIRST HEALTH
Other C05097 FIRST HEALTH
Other 042472266 FIRST HEALTH
Other 2034107 FIRST HEALTH

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