Palen, Ellen Marye

Palen, Ellen Marye is an individual health care provider with primary practice located at 2367 Colony Crossing Place , Midlothian VA 23112. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Palen, Ellen Marye can be contacted via phone (804) 323-1264.

Contact Information

Primary practice address
2367 Colony Crossing Place Midlothian VA 23112
Phone: (804) 323-1264
Fax: (804) 323-1276
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101102583 Virginia

Profile Details

NPI number 1245239938
LBN Legal business name Palen, Ellen Marye
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2005
Last updated Aug 3rd, 2016 - about 8 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 1245239938 NPPES
Virginia Other 236600 ANTHEM BCBS
Virginia MEDICAID 10331382 ANTHEM BCBS

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