Ellsworth-Neiman, Jamie A

Ellsworth-Neiman, Jamie A is an individual health care provider with primary practice located at 1200 W Godfrey Ave , Philadelphia PA 19141-3323. He recently has only one registered license in Eye and Vision Services Providers / Pediatrics, which is considered as his primary health care specialty. Ellsworth-Neiman, Jamie A can be contacted via phone (215) 276-6000.

Contact Information

Primary practice address
1200 W Godfrey Ave Philadelphia PA 19141-3323
Phone: (215) 276-6000
Fax: (215) 276-1329
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Pediatrics 152WP0200X OEG000343 Pennsylvania

Profile Details

NPI number 1477565224
LBN Legal business name Ellsworth-Neiman, Jamie A
Credentials OPTOMETRIST
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2006
Last updated Jul 8th, 2007 - about 19 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 1477565224 NPPES
Pennsylvania Other 2248 AETNA HMO
Pennsylvania Other 2308338000 AETNA HMO
Pennsylvania Other 1632843 AETNA HMO

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