Gavin, Ellen
Gavin, Ellen is an individual health care provider with primary practice located at 208 Old Mill Rd , Martinsburg WV 25401-9219. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Gavin, Ellen can be contacted via phone (304) 263-5680.Contact Information
Primary practice address
208 Old Mill Rd
Martinsburg WV 25401-9219
Phone: (304) 263-5680
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 26507 | Maryland |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT004264 | West Virginia |
Profile Details
| NPI number | 1457881161 |
|---|---|
| LBN Legal business name | Gavin, Ellen |
| Credentials | PT, DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2017 |
| Last updated | Apr 7th, 2022 - 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 | 1457881161 | NPPES |
| Maryland | Other | 26507 | MARYLAND BOARD OF PHYSICAL THERAPY |
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