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NPI 1013015841 · live from the CMS NPI Registry

Linda H Elllingson, PA-C

Physician Assistant in Maddock, ND. National Provider Identifier 1013015841, active.

NPI record

NPI1013015841 Type 1 · individual
StatusActive
Primary specialtyPhysician Assistant 363A00000X
Practice location301 Roosevelt Ave, Maddock, ND 58348
Practice phone701-438-2555
Mailing address800 3rd Ave Sw, Rugby, ND 58368
EnumeratedSeptember 20, 2006
Last updatedMarch 5, 2008
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Physician Assistant primary363A00000XPAC0023 (ND)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.