Fan, Ellen

Fan, Ellen is an individual health care provider with primary practice located at 95 Old Short Hills Rd , West Orange NJ 07052-1008. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Fan, Ellen can be contacted via phone (973) 322-4086.

Contact Information

Primary practice address
95 Old Short Hills Rd West Orange NJ 07052-1008
Phone: (973) 322-4086
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 28RI02412600 New Jersey

Profile Details

NPI number 1730206566
LBN Legal business name Fan, Ellen
Credentials R.PH.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2007
Last updated May 26th, 2014 - about 11 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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