Provider Demographics
NPI:1275238479
Name:RIZZO, ELLIE MARIE (DO)
Entity Type:Individual
Prefix:DR
First Name:ELLIE
Middle Name:MARIE
Last Name:RIZZO
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:ELLIE
Other - Middle Name:MARIE
Other - Last Name:SEIFFERTH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:679 THOMAS LANE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43214
Mailing Address - Country:US
Mailing Address - Phone:614-566-5414
Mailing Address - Fax:614-533-0433
Practice Address - Street 1:679 THOMAS LANE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214
Practice Address - Country:US
Practice Address - Phone:614-566-5414
Practice Address - Fax:614-533-0433
Is Sole Proprietor?:No
Enumeration Date:2023-04-05
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program