Ellyn, Nicholas

Ellyn, Nicholas is an sole proprietor health care provider with primary practice located at 1707 Osage St Suite 205, Alexandria VA 22302-2611. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Ellyn, Nicholas can be contacted via phone (703) 578-0100.

Contact Information

Primary practice address
1707 Osage St Suite 205 Alexandria VA 22302-2611
Phone: (703) 578-0100
Fax: (703) 824-8357
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 0101027634 Virginia

Profile Details

NPI number 1174626311
LBN Legal business name Ellyn, Nicholas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 6th, 2006
Last updated May 11th, 2010 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174626311 NPPES
Virginia MEDICAID 006380883
Virginia MEDICAID 1174626311

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