Eller, Myron Edward

Eller, Myron Edward is an individual health care provider with primary practice located at 445 Commonwealth Blvd E , Martinsville VA 24112-2014. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Eller, Myron Edward can be contacted via phone (276) 632-3841.

Contact Information

Primary practice address
445 Commonwealth Blvd E Martinsville VA 24112-2014
Phone: (276) 632-3841
Fax: (276) 632-2437
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101035560 Virginia

Profile Details

NPI number 1285602862
LBN Legal business name Eller, Myron Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Jun 29th, 2010 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1285602862 NPPES
Virginia MEDICAID 005615585
Virginia Other 466796
Virginia Other 0103709
Virginia Other 080018160
Virginia Other 005615585
Virginia Other 466798
Virginia Other 2128061
Virginia Other CB1505
Virginia Other 0164R
Virginia Other 101806
Virginia Other 226029

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