Schwartz, Ellissa A
Schwartz, Ellissa A is an individual health care provider with primary practice located at 6830 Villagreen Vw , Rockford IL 61107-5639. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Schwartz, Ellissa A can be contacted via phone (815) 282-1339.Contact Information
Primary practice address
6830 Villagreen Vw
Rockford IL 61107-5639
Phone: (815) 282-1339
Fax: (815) 282-1298
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 085-002771 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | MA #052890 | Pennsylvania |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 2370-023 | Wisconsin |
Profile Details
| NPI number | 1003029224 |
|---|---|
| LBN Legal business name | Schwartz, Ellissa A |
| Credentials | PHYSICIAN ASSISTANT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 7th, 2007 |
| Last updated | Nov 24th, 2009 - about 15 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 | 1003029224 | NPPES |
| Illinois | Other | 553180 | MEDICARE GROUP PTAN |
| Illinois | Other | 834340 | MEDICARE GROUP PTAN |
| Illinois | Other | 846930 | MEDICARE GROUP PTAN |
Popular Providers
-
Joyner, Kara C.
1401 E State St , Rockford IL 61104-2315 -
Crum, Christina Marie
1200 W State St , Rockford IL 61102-2112 -
Campbell, Gregory Lee
6824 Newburg Rd , Rockford IL 61108 -
Soare, Sean Creston
2902 Mcfarland Rd Suite 300, Rockford IL 61107-6801 -
Walker, Jimmy L
324 Roxbury Rd , Rockford IL 61107-5090 -
Hans, Thomas S
5875 E Riverside Blvd , Rockford IL 61114-4937 -
Meltzer, Jason Matthew
1401 E State St , Rockford IL 61104-2315 -
Zingre, Mary Frances
1340 Charles St Suite 400, Rockford IL 61104