Ellwood, Leslie C

Ellwood, Leslie C is an individual health care provider with primary practice located at 12784 Fox Keep Run , Fairfax VA 22033-2233. He recently has only one registered license in Eye and Vision Services Providers / Pediatrics, which is considered as his primary health care specialty. Ellwood, Leslie C can be contacted via phone (703) 817-1030.

Contact Information

Primary practice address
12784 Fox Keep Run Fairfax VA 22033-2233
Phone: (703) 817-1030
Fax: (703) 995-4508
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Pediatrics 152WP0200X 0101025766 Virginia

Profile Details

NPI number 1992877450
LBN Legal business name Ellwood, Leslie C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Jul 8th, 2007 - about 18 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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