Jenkins, Ellen M
Jenkins, Ellen M is an individual health care provider with primary practice located at 3022 Williams Drive Suite 300, Fairfax VA 22031. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Rheumatology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Jenkins, Ellen M can be contacted via phone (703) 573-9800.Contact Information
Primary practice address
3022 Williams Drive Suite 300
Fairfax VA 22031
Phone: (703) 573-9800
Fax: (703) 573-2959
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 0101046540 | Virginia |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 0101046540 | Virginia |
Profile Details
NPI number | 1518075704 |
---|---|
LBN Legal business name | Jenkins, Ellen M |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 28th, 2006 |
Last updated | Nov 27th, 2023 - about 2 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 | 1518075704 | NPPES |
Virginia | MEDICAID | 6015174 | |
Virginia | Other | 110153968 |
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