Rolett, Ellis Lawrence

Rolett, Ellis Lawrence is an individual health care provider with primary practice located at 1 Medical Center Dr Dartmouth-Hitchcock Clinic, Lebanon NH 03756-1000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Rolett, Ellis Lawrence can be contacted via phone (603) 650-5700.

Contact Information

Primary practice address
1 Medical Center Dr Dartmouth-Hitchcock Clinic Lebanon NH 03756-1000
Fax: (603) 650-6164
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 5751 New Hampshire

Profile Details

NPI number 1922054584
LBN Legal business name Rolett, Ellis Lawrence
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Jul 8th, 2007 - about 17 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 1922054584 NPPES
Vermont MEDICAID 0004229
Vermont MEDICAID 81114229

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