Individual
DR. CAROLYN ANN ELLSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
312 N KENTUCKY ST, WEST PLAINS, MO 65775-2073
(417) 257-7076
(417) 257-1417
Mailing address
312 N KENTUCKY ST, WEST PLAINS, MO 65775-2073
(417) 257-7076
(417) 257-1417
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
102421
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123942001
—
AK
05
—
203592001
—
MO
Enumeration date
07/06/2005
Last updated
11/01/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us