Fountain-Ellis, Tami

Fountain-Ellis, Tami is an individual health care provider with primary practice located at 9600 Patterson Ave , Richmond VA 23229-6053. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Fountain-Ellis, Tami can be contacted via phone (804) 741-6200.

Contact Information

Primary practice address
9600 Patterson Ave Richmond VA 23229-6053
Phone: (804) 741-6200
Fax: (804) 741-6213
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101102532 Virginia

Profile Details

NPI number 1467424853
LBN Legal business name Fountain-Ellis, Tami
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Feb 17th, 2020 - about 6 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 1467424853 NPPES
Virginia Other 080190627 MEDICARE RAILROAD
Virginia MEDICAID 010075823 MEDICARE RAILROAD
Virginia Other 292416 MEDICARE RAILROAD
Virginia Other C06695 MEDICARE RAILROAD

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