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Contact Information

STEWART L ELLINGTON MD PC
24 SOUTH1100 EAST
SUITE 103
SALT LAKE CITY, UT84102
 Phone: 801-364-5767
 Fax: 801-531-9704
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for STEWART L ELLINGTON MD PC · (Female)

NPI Number 1922315084
Status Active
Credentials
Entity Individual
Enumeration date 09/09/2010
Last updated 09/09/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • UT License # 156919-1205
  • UT Medicaid 240662791005
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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