Individual
JOSHUA TODD ELLSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
231 S 30TH ST, ENID, OK 73701-6455
(580) 596-2800
(580) 596-2805
Mailing address
9208 NW 72ND ST, HESSTON, KS 67062-6201
(620) 217-0295
(580) 596-2805
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
363A00000X
Physician Assistant
Primary
4919
OK
Other
Enumeration date
07/30/2019
Last updated
02/25/2025
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