Thomas, Ellena Mae
Thomas, Ellena Mae is an individual health care provider with primary practice located at 190 Campus Blvd Suite 300, Winchester VA 22601-2872. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Thomas, Ellena Mae can be contacted via phone (540) 667-1244.Contact Information
Primary practice address
190 Campus Blvd Suite 300
Winchester VA 22601-2872
Phone: (540) 667-1244
Fax: (540) 662-1187
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | Virginia |
Profile Details
| NPI number | 1205969128 |
|---|---|
| LBN Legal business name | Thomas, Ellena Mae |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 13th, 2007 |
| Last updated | Sep 15th, 2021 - about 3 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 | 1205969128 | NPPES |
| Virginia | MEDICAID | 1205969128 |
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