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
Fax: (703) 573-2959
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518075704 NPPES
Virginia MEDICAID 6015174
Virginia Other 110153968

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