Ellsworth, Sterling
Ellsworth, Sterling is an individual health care provider with primary practice located at 102 Highland Ave Se Suite 303, Roanoke VA 24013-2256. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Ellsworth, Sterling can be contacted via phone (540) 985-9715.Contact Information
Primary practice address
102 Highland Ave Se Suite 303
Roanoke VA 24013-2256
Phone: (540) 985-9715
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 0101-057534 | Virginia |
Profile Details
NPI number | 1326017476 |
---|---|
LBN Legal business name | Ellsworth, Sterling |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 14th, 2006 |
Last updated | May 7th, 2008 - about 16 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1326017476 | NPPES |
Virginia | MEDICAID | 5217435 | |
Virginia | MEDICAID | 6216552 | |
Virginia | MEDICAID | 6217427 | |
Virginia | MEDICAID | 6211887 |
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