Brown, Ellen Renee
Brown, Ellen Renee is an sole proprietor health care provider with primary practice located at 184 Holiday Hills Dr , Parkersburg WV 26104-8006. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is her primary health care specialty. Brown, Ellen Renee can be contacted via phone (304) 420-2400.Contact Information
Primary practice address
184 Holiday Hills Dr
Parkersburg WV 26104-8006
Phone: (304) 420-2400
Fax: (304) 420-9014
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 35.099978 | Ohio |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 21389 | West Virginia |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 042-0011212 | Vermont |
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207QA0401X | 21389 | West Virginia |
Profile Details
| NPI number | 1154368447 |
|---|---|
| LBN Legal business name | Brown, Ellen Renee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 2nd, 2006 |
| Last updated | Aug 7th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154368447 | NPPES |
| Ohio | MEDICAID | 0075906 | |
| Ohio | MEDICAID | 3810023925 | |
| Ohio | MEDICAID | 1012998 | |
| Ohio | Other | P01138126 |
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