Rolfe, Alan Ellis
Rolfe, Alan Ellis is an sole proprietor health care provider with primary practice located at 8505 Arlington Blvd Ste 210 , Fairfax VA 22031-4630. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Pediatric Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Rolfe, Alan Ellis can be contacted via phone (703) 846-0076.Contact Information
Primary practice address
8505 Arlington Blvd Ste 210
Fairfax VA 22031-4630
Phone: (703) 846-0076
Fax: (703) 846-0025
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | 0101040397 | Virginia |
| Allopathic & Osteopathic Physicians / Pediatric Dermatology | 207NP0225X | 0101040397 | Virginia |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 0101040397 | Virginia |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 0101040397 | Virginia |
Profile Details
| NPI number | 1295899953 |
|---|---|
| LBN Legal business name | Rolfe, Alan Ellis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 20th, 2006 |
| Last updated | Jun 13th, 2024 - about 6 months 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 | 1295899953 | NPPES |
| Virginia | Other | 0126246P05 | MEDICARE PTAN |
| Virginia | MEDICAID | 1295899953 | MEDICARE PTAN |
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