Fountain-Ellis, Tami
Fountain-Ellis, Tami is an individual health care provider with primary practice located at 9600 Patterson Ave , Richmond VA 23229-6053. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Fountain-Ellis, Tami can be contacted via phone (804) 741-6200.Contact Information
Primary practice address
9600 Patterson Ave
Richmond VA 23229-6053
Phone: (804) 741-6200
Fax: (804) 741-6213
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0101102532 | Virginia |
Profile Details
| NPI number | 1467424853 |
|---|---|
| LBN Legal business name | Fountain-Ellis, Tami |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 2nd, 2006 |
| Last updated | Feb 17th, 2020 - about 5 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 | 1467424853 | NPPES |
| Virginia | Other | 080190627 | MEDICARE RAILROAD |
| Virginia | MEDICAID | 010075823 | MEDICARE RAILROAD |
| Virginia | Other | 292416 | MEDICARE RAILROAD |
| Virginia | Other | C06695 | MEDICARE RAILROAD |
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