Ennis, David Todd
Ennis, David Todd is an individual health care provider with primary practice located at 1838 Commerce St , Yorktown Heights NY 10598-4400. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Ennis, David Todd can be contacted via phone (914) 962-3500.Contact Information
Primary practice address
1838 Commerce St
Yorktown Heights NY 10598-4400
Phone: (914) 962-3500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 160802 | New York |
Profile Details
| NPI number | 1306839592 |
|---|---|
| LBN Legal business name | Ennis, David Todd |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2005 |
| Last updated | Sep 29th, 2011 - about 13 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 | 1306839592 | NPPES |
| Other | 2C5048 | HEALTHET | |
| Other | 4245064 | HEALTHET | |
| Other | CK0751 | HEALTHET | |
| Other | 120894 | HEALTHET | |
| Other | 961517 | HEALTHET | |
| Other | 148653 | HEALTHET | |
| Other | WP483 | HEALTHET | |
| MEDICAID | 00970489 | HEALTHET | |
| Other | WS0001194 | HEALTHET |
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