Hjerpe, David Ellsworth
Hjerpe, David Ellsworth is an individual health care provider with primary practice located at 45280 Seeley Dr 1St Flr / Urgent Care, La Quinta CA 92253-6834. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hjerpe, David Ellsworth can be contacted via phone (760) 610-7210.Contact Information
Primary practice address
45280 Seeley Dr 1St Flr / Urgent Care
La Quinta CA 92253-6834
Phone: (760) 610-7210
Fax: (760) 564-0101
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | G 80101 | California |
Profile Details
| NPI number | 1578507216 |
|---|---|
| LBN Legal business name | Hjerpe, David Ellsworth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2006 |
| Last updated | Feb 25th, 2016 - about 8 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 | 1578507216 | NPPES |
| California | MEDICAID | 00G801012 |
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