Ellwood, Michael R

Ellwood, Michael R is an sole proprietor health care provider with primary practice located at 6030 Selwood Pl , Springfield VA 22152-1412. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Ellwood, Michael R can be contacted via phone (703) 569-1451.

Contact Information

Primary practice address
6030 Selwood Pl Springfield VA 22152-1412
Phone: (703) 569-1451
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 000547 Connecticut

Profile Details

NPI number 1073726691
LBN Legal business name Ellwood, Michael R
Credentials MS, PA-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 8th, 2007
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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