Haddock, Ellen

Haddock, Ellen is an individual health care provider with primary practice located at 5000 Civic Center Dr , San Rafael CA 94903-4184. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Haddock, Ellen can be contacted via phone (415) 499-0100.

Contact Information

Primary practice address
5000 Civic Center Dr San Rafael CA 94903-4184
Phone: (415) 499-0100
Fax: (415) 499-0290
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Dermatology 207N00000X A157683 California

Profile Details

NPI number 1851823454
LBN Legal business name Haddock, Ellen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2017
Last updated Dec 1st, 2022 - about 2 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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