Mahon, Ellen
Mahon, Ellen is an individual health care provider with primary practice located at 2203 E Little Creek Rd , Norfolk VA 23518-4205. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Mahon, Ellen can be contacted via phone (757) 583-2181.Contact Information
Primary practice address
2203 E Little Creek Rd
Norfolk VA 23518-4205
Phone: (757) 583-2181
Fax: (757) 480-6482
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0101038508 | Virginia |
Profile Details
| NPI number | 1417921818 |
|---|---|
| LBN Legal business name | Mahon, Ellen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 14th, 2006 |
| Last updated | Apr 12th, 2010 - about 15 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 | 1417921818 | NPPES |
| Virginia | Other | 4085864 | AETNA |
| Virginia | MEDICAID | 010005523 | AETNA |
| Virginia | Other | 541595397 | AETNA |
| Virginia | Other | 541595397 | AETNA |
| Virginia | Other | 463070 | AETNA |
| Virginia | Other | 541595397 | AETNA |
| Virginia | Other | 541595397 | AETNA |
| Virginia | Other | 541595397 | AETNA |
| Virginia | Other | 66217 | AETNA |
Popular Providers
-
Eng, Benjamin Peter
721 Fairfax Ave , Norfolk VA 23507-2007 -
Russo, Anthony R
1326 E Little Creek Rd , Norfolk VA 23518 -
Gonzalez, Roberto Adrian
1721 Taussig Blvd Navy Branch Medical Clinic Sewels Point, Norfolk VA 23511-2899 -
Kunkel, Alan R
2203 E Little Creek Rd , Norfolk VA 23518-4205 -
Humadi, Sahira Ali
825 Fairfax Ave , Norfolk VA 23507-1914 -
Goldsticker, Laurie Anne
400 W Brambleton Ave Suite 100, Norfolk VA 23510-1115 -
Grant, Thomas Russell
825 Fairfax Ave , Norfolk VA 23507-1914 -
Cole, Michael Ward
825 Fairfax Ave Suite 545, Norfolk VA 23507-1914