Enrique Ellenbogen in Troy - Ophthalmology
Enrique Ellenbogen - NPI 1972671709
Enrique Ellenbogen is a Ophthalmology in Troy, Ohio. Enrique Ellenbogen practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Enrique Ellenbogen is 1972671709. The last update date is 2012-01-18.
Enrique Ellenbogen's current location address is 700 S Stanfield Rd, Troy, Ohio. You can contact this provider via phone number 9373357121 and fax number 9373357124. The mailing address for Enrique Ellenbogen is 700 S Stanfield Rd, Troy, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Enrique Ellenbogen |
|---|---|
| Address | 700 S Stanfield Rd, Troy, Ohio |
| Phone Number | 9373357121 |
| Fax Number | 9373357124 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1972671709 |
|---|---|
| Provider Enumeration Date | 2006-12-01 |
| Last Updated Date | 2012-01-18 |
Provider Mailing Address Detail
| Address | 700 S Stanfield Rd |
|---|---|
| City | Troy |
| State | Ohio (OH) |
| Post Code | 453732569 |
| Phone Number | 9373357121 |
| Fax Number | 9373357124 |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmology |
|---|---|
| Taxonomy | 207W00000X |
| Licence No | 35100246 |
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Definition: An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| L0277598 | OH | -- | |
| 10310 | ANTHEM | ||
| 311024334 | OH | TAX IDENTIFICATION NUMBER | |
| D00246 | HUMANA |
Post Comment/ Review Below
What is the unique provider identifier assigned to Enrique Ellenbogen?
The Enrique Ellenbogen has been issued the NPI (National Provider Identifier) 1972671709 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Enrique Ellenbogen's physical address?
The Enrique Ellenbogen is physically located at 700 S Stanfield Rd, in the city of Troy, OH, with the postal code 453732569.
What is Enrique Ellenbogen's specialized field of practice, and what is the corresponding taxonomy classification code?
The Enrique Ellenbogen's area of specialization is Ophthalmology, and the corresponding taxonomy code that categorizes this field of practice is 207W00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1972671709 to Enrique Ellenbogen?
The Centers for Medicare & Medicaid Services assigned the 1972671709 to Enrique Ellenbogen on 2006-12-01.
As of what date was the information pertaining to Enrique Ellenbogen, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Enrique Ellenbogen, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-01-18.
NPI Number: 1407848211
Address: 4511 N Davis Hwy, Pensacola, FL