Jankowski, Ellen B

Jankowski, Ellen B is an individual health care provider with primary practice located at 84 Marginal Way Suite 700, Portland ME 04101. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Jankowski, Ellen B can be contacted via phone (207) 774-5816.

Contact Information

Primary practice address
84 Marginal Way Suite 700 Portland ME 04101
Phone: (207) 774-5816
Fax: (207) 523-8597
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA10004431 Washington
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA10004431 Washington
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA001161 Maine
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA001161 Maine

Profile Details

NPI number 1417963109
LBN Legal business name Jankowski, Ellen B
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Sep 26th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417963109 NPPES
Washington Other 0166563 L&I PIN
Washington MEDICAID 272170099 L&I PIN
Washington MEDICAID 8324659 L&I PIN
Washington Other 54807U L&I PIN

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