National Provider Identifier Database

STEWART L ELLINGTON MD PC
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


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
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for STEWART L ELLINGTON MD PC

NPI Number 1922315084
Legal business name
LBN
STEWART L ELLINGTON MD PC
Authorized official STEWART ELLINGTON - (PHYSICIAN)
Entity Organization
Organization subpart No
Enumeration date 09/09/2010
Last updated 09/09/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • UT License #: 156919-1205
  • UT Medicaid: 240662791005

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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