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Contact Information

ELLSWORTH FOOT AND ANKLE CLINIC
12523 S CREEK MEADOW RD STE 105
RIVERTON, UT84065
 Phone: 801-253-6886
 Fax: 801-253-6888
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for ELLSWORTH FOOT AND ANKLE CLINIC · (Female)

NPI # 1942549795
Status Active
Credentials
Entity Individual
Enumeration date 02/13/2013
Last updated 09/29/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers
  • UT License # 8400193-0501
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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