Mckinnon, Ellen Mary

Mckinnon, Ellen Mary is an individual health care provider with primary practice located at 1 Medical Center Dr Dhmc General Surgery, Lebanon NH 03756-1000. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Mckinnon, Ellen Mary can be contacted via phone (603) 650-8022.

Contact Information

Primary practice address
1 Medical Center Dr Dhmc General Surgery Lebanon NH 03756-1000
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 032812-23-12 New Hampshire

Profile Details

NPI number 1336221795
LBN Legal business name Mckinnon, Ellen Mary
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2006
Last updated Jul 16th, 2007 - about 18 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 1336221795 NPPES
Vermont MEDICAID 1009685

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