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Contact Information

AMY C ELLSWORTH, PA-C,MMS
344 F STREET
SUITE #200
CHULA VISTA, CA91910
 Phone: 619-476-1200
 Fax: 619-420-7849
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for AMY C ELLSWORTH · (Female)

NPI Number 1174711436
Status Active
Credentials PA-C,MMS
Entity Individual
Enumeration date 10/11/2007
Last updated 07/10/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • CA License # PA19249
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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