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
Fax: (718) 881-2245
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679697411 NPPES
South Carolina MEDICAID 290492

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