Laurence Steven Ellner
Podiatrist
2287 Mowry Ave Ste C
Fremont
, California 94538-1622
Laurence Steven Ellner
Podiatrist
2287 Mowry Ave Ste C
Fremont
, California 94538-1622
(510) 713-6537
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About
Features
Specialties
- Podiatrist
Languages spoken
- English
Location
First Address
- Laurence Steven Ellner
- 2287 Mowry Ave Ste C
- Fremont, CA
- Zip : 94538-1622
- Fax : (510) 713-6537
- Phone : (510) 713-6559
Second Address
- Laurence Steven Ellner
- 2287 Mowry Ave Ste C
- Fremont, CA
- Zip : 94538-1622
- Fax : (510) 713-6537
- Phone : (510) 713-6559
Reviews
FAQs
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What type of doctor is Laurence Steven Ellner
In what state does Laurence Steven Ellner practice in?
Where is Laurence Steven Ellner ’s practice located?
What is Laurence Steven Ellner ’s gender?
Is Laurence Steven Ellner a sole practitioner?
Is Laurence Steven Ellner accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | E3746 | CA |
| Y | 222Z00000X | Podiatrist | E3746 | CA |
National Provider Identifier
| NPI | 1003907916 |
|---|---|
| Provider Name | Laurence Steven Ellner |
| First Address | Fremont, CA 94538-1622 |
| Second Address | Fremont, CA 94538-1622 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/09/2006 |
| Last Update Date | 12/11/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| U18551 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.