Ellis, Melody
Ellis, Melody is an sole proprietor health care provider with primary practice located at 620 John Paul Jones Cir Naval Medical Center Portsmouth, Porstmouth VA 23708-2370. She recently has only one registered license in Pharmacy Service Providers / Pharmacy Technician, which is considered as her primary health care specialty. Ellis, Melody can be contacted via phone (757) 953-0284.Contact Information
Primary practice address
620 John Paul Jones Cir Naval Medical Center Portsmouth
Porstmouth VA 23708-2370
Phone: (757) 953-0284
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacy Technician | 183700000X | 0230023795 | Virginia |
Profile Details
| NPI number | 1154827442 |
|---|---|
| LBN Legal business name | Ellis, Melody |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 4th, 2018 |
| Last updated | Apr 4th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154827442 | NPPES |
| Virginia | Other | 0230023795 | VIRGINIA BOARD OF PHARMACY |
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