Charles Paul Ellsworth in Mount Morris - Family Medicine
Charles Paul Ellsworth - NPI 1780786707
Charles Paul Ellsworth is a Family Medicine in Mount Morris, Michigan. Charles Paul Ellsworth practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Charles Paul Ellsworth is 1780786707. The last update date is 2014-12-09.
Charles Paul Ellsworth's current location address is 7057 N Clio Rd, Mount Morris, Michigan. You can contact this provider via phone number 8106700200 and fax number 8106700196. The mailing address for Charles Paul Ellsworth is 7057 N Clio Rd, Mount Morris, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles Paul Ellsworth |
|---|---|
| Address | 7057 N Clio Rd, Mount Morris, Michigan |
| Phone Number | 8106700200 |
| Fax Number | 8106700196 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1780786707 |
|---|---|
| Provider Enumeration Date | 2006-09-01 |
| Last Updated Date | 2014-12-09 |
Provider Mailing Address Detail
| Address | 7057 N Clio Rd |
|---|---|
| City | Mount Morris |
| State | Michigan (MI) |
| Post Code | 484588261 |
| Phone Number | 8106700200 |
| Fax Number | 8106700196 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 5101015196 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1051020 | MO | MCLAREN HEALTH PLAN | |
| 178241 | MN | GREAT LAKES HEALTH PLAN/UNITED | |
| 1780786707 | MN | MOLINA HEALTHCARE OF MICHIGAN | |
| 080G3610660 | MI | MICHIGAN BLUE CROSS BLUE SHIEL | |
| 1780786707 | MI | -- | |
| 381908328 | MI | HCAP | |
| 381908328-446 | MN | CARE SOURCE OF MICHIGAN | |
| 080G310660 | MI | BLUE CARE NETWORK OF MICHIGAN | |
| 992950 | MI | HEALTH PLUS OF MICHIGAN | |
| 19870 | MI | HEALTH PLAN OF MICHIGAN |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Charles Paul Ellsworth by the Centers for Medicare & Medicaid Services?
The Charles Paul Ellsworth has been assigned the NPI (National Provider Identifier) 1780786707 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Charles Paul Ellsworth is physically located?
The Charles Paul Ellsworth is physically situated at the following address: 7057 N Clio Rd, Mount Morris, MI, 484588261.
What is Charles Paul Ellsworth's specialized field of practice, and what is the corresponding taxonomy classification code?
The Charles Paul Ellsworth's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
On what date did Charles Paul Ellsworth receive its 1780786707 assignment from the Centers for Medicare & Medicaid Services?
The Charles Paul Ellsworth was assigned its 1780786707 on 2006-09-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Charles Paul Ellsworth's details last updated?
The information pertaining to the Charles Paul Ellsworth, including its address, specialty, and other details, was most recently updated on 2014-12-09.
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