Eller, Marc A

Eller, Marc A is an individual health care provider with primary practice located at 5510 Alma Ln , Springfield VA 22151-4012. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Eller, Marc A can be contacted via phone (703) 642-5990.

Contact Information

Primary practice address
5510 Alma Ln Springfield VA 22151-4012
Phone: (703) 642-5990
Fax: (703) 642-5003
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101044984 Virginia

Profile Details

NPI number 1942200688
LBN Legal business name Eller, Marc A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 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 1942200688 NPPES
Virginia Other 205693 ANTHEM HEALTHKEEPERS
Virginia Other 205693 ANTHEM HEALTHKEEPERS
Virginia Other 5325453-019 ANTHEM HEALTHKEEPERS
Virginia Other 125579 ANTHEM HEALTHKEEPERS
Virginia Other 257640 ANTHEM HEALTHKEEPERS
Virginia Other 45560010 ANTHEM HEALTHKEEPERS
Virginia Other 505110 ANTHEM HEALTHKEEPERS
Virginia MEDICAID 5635110 ANTHEM HEALTHKEEPERS
Virginia Other 0101444 ANTHEM HEALTHKEEPERS
Virginia Other 0101471 ANTHEM HEALTHKEEPERS
Virginia Other 5298516 ANTHEM HEALTHKEEPERS
Virginia Other 1068214 ANTHEM HEALTHKEEPERS
Virginia Other 2009266 ANTHEM HEALTHKEEPERS

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