Ellis, Pamela
Ellis, Pamela is an individual health care provider with primary practice located at 2025 Glenn Mitchell Dr 2Nd Floor Education Department, Virginia Beach VA 23456-0178. She recently has only one registered license in Nursing Service Providers / Diabetes Educator, which is considered as her primary health care specialty. Ellis, Pamela can be contacted via phone (757) 507-2711.Contact Information
Primary practice address
2025 Glenn Mitchell Dr 2Nd Floor Education Department
Virginia Beach VA 23456-0178
Phone: (757) 507-2711
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Diabetes Educator | 163WD0400X | 0001228063 | Virginia |
Profile Details
NPI number | 1134700404 |
---|---|
LBN Legal business name | Ellis, Pamela |
Credentials | BS, BSN, CDCES |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 19th, 2021 |
Last updated | Aug 16th, 2021 - about 4 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 | 1134700404 | NPPES |
Other | 6875147 | DPRP ASSIGNED ORGANIZATIONAL CODE |
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