Ellsworth, Sarah Ellen

Ellsworth, Sarah Ellen is an individual health care provider with primary practice located at 590 Court St , Keene NH 03431-1719. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Ellsworth, Sarah Ellen can be contacted via phone (603) 354-5400.

Contact Information

Primary practice address
590 Court St Keene NH 03431-1719
Phone: (603) 354-5400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 046070-23 New Hampshire

Profile Details

NPI number 1134203649
LBN Legal business name Ellsworth, Sarah Ellen
Credentials CNM, MSN
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2006
Last updated Apr 3rd, 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 1134203649 NPPES
New Hampshire MEDICAID 3075352

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