Adams, Ellen D

Adams, Ellen D is an individual health care provider with primary practice located at 3600 Joseph Siewick Dr , Fairfax VA 22033-1709. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as her primary health care specialty. Adams, Ellen D can be contacted via phone (703) 295-9360.

Contact Information

Primary practice address
3600 Joseph Siewick Dr Fairfax VA 22033-1709
Phone: (703) 295-9360
Fax: (703) 295-9369
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 0101236210 Virginia

Profile Details

NPI number 1871594796
LBN Legal business name Adams, Ellen D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871594796 NPPES
Washington Other 1067774 WORKER'S COMPENSATION
Washington Other K142-0001 WORKER'S COMPENSATION
Washington Other 9385081 WORKER'S COMPENSATION
Washington Other 033579 WORKER'S COMPENSATION
Washington Other 484645 WORKER'S COMPENSATION

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