Anderson, Ellen G

Anderson, Ellen G is an sole proprietor health care provider with primary practice located at 457 Carlisle Dr , Herndon VA 20170-4819. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Anderson, Ellen G can be contacted via phone (703) 464-5122.

Contact Information

Primary practice address
457 Carlisle Dr Herndon VA 20170-4819
Phone: (703) 464-5122
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LISAC0296 Arizona

Profile Details

NPI number 1699916288
LBN Legal business name Anderson, Ellen G
Credentials LISAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 12th, 2009
Last updated Mar 12th, 2009 - about 16 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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