Pottharst, Ellen Rhame
Pottharst, Ellen Rhame is an individual health care provider with primary practice located at 111 E 210Th St Dept Of Anesthesiology, Bronx NY 10467-2401. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is her primary health care specialty. Pottharst, Ellen Rhame can be contacted via phone (718) 920-6423.Contact Information
Primary practice address
111 E 210Th St Dept Of Anesthesiology
Bronx NY 10467-2401
Phone: (718) 920-6423
Fax: (718) 881-2245
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 29049 | South Carolina |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 247420 | New York |
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | 29049 | South Carolina |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 247420 | New York |
Profile Details
| NPI number | 1679697411 |
|---|---|
| LBN Legal business name | Pottharst, Ellen Rhame |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 19th, 2007 |
| Last updated | Jan 14th, 2019 - about 5 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 | 1679697411 | NPPES |
| South Carolina | MEDICAID | 290492 |
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