Ellis, Rebecca Mclain
Ellis, Rebecca Mclain is an individual health care provider with primary practice located at 1800 Camelot Dr Suite 300, Virginia Beach VA 23454-2440. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Ellis, Rebecca Mclain can be contacted via phone (757) 321-4284.Contact Information
Primary practice address
1800 Camelot Dr Suite 300
Virginia Beach VA 23454-2440
Phone: (757) 321-4284
Fax: (757) 321-4287
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 2305205989 | Virginia |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | 2305205989 | Virginia |
Profile Details
| NPI number | 1356579957 |
|---|---|
| LBN Legal business name | Ellis, Rebecca Mclain |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2009 |
| Last updated | Dec 9th, 2011 - 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 | 1356579957 | NPPES |
| Virginia | Other | 541869072 | TAX ID |
| Virginia | Other | C05501 | TAX ID |
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