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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326017476 NPPES
Virginia MEDICAID 5217435
Virginia MEDICAID 6216552
Virginia MEDICAID 6217427
Virginia MEDICAID 6211887

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