Ellsworth, Ryan Scott
Ellsworth, Ryan Scott is an sole proprietor health care provider with primary practice located at 505 Fairburn Rd Sw Ste 100 , Atlanta GA 30331-2012. He recently has 6 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Radiology, Podiatric Medicine & Surgery Service Providers / Sports Medicine, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Foot Surgery is his primary health care specialty. Ellsworth, Ryan Scott can be contacted via phone (404) 618-6077.Contact Information
Primary practice address
505 Fairburn Rd Sw Ste 100
Atlanta GA 30331-2012
Phone: (404) 618-6077
Fax: (801) 253-6888
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 2109 | Nevada |
Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | E5797 | California |
Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | PO4406 | Florida |
Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | POD001473 | Georgia |
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | 8400193-0501 | Utah |
Podiatric Medicine & Surgery Service Providers / Radiology | 213ER0200X | 8400193-0501 | Utah |
Podiatric Medicine & Surgery Service Providers / Sports Medicine | 213ES0000X | 8400193-0501 | Utah |
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 8400193-0501 | Utah |
Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | 8400193-0501 | Utah |
Profile Details
NPI number | 1104130574 |
---|---|
LBN Legal business name | Ellsworth, Ryan Scott |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 28th, 2010 |
Last updated | Jun 17th, 2024 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1104130574 | NPPES |
Utah | MEDICAID | 1003111 | |
Utah | Other | 8400193-0501 | |
Utah | Other | 7672880001 | |
Utah | Other | E5797 | |
Utah | Other | POD001473 | |
Utah | Other | PO4406 | |
Utah | Other | 2109 |
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