Ianelli, Ellen

Ianelli, Ellen is an individual health care provider with primary practice located at 7075 Swansong Cir , Myrtle Beach SC 29579-4363. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Ianelli, Ellen can be contacted via phone (856) 912-7239.

Contact Information

Primary practice address
7075 Swansong Cir Myrtle Beach SC 29579-4363
Phone: (856) 912-7239
Fax: (856) 912-7239
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 22867 South Carolina

Profile Details

NPI number 1417076175
LBN Legal business name Ianelli, Ellen
Credentials APN BC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2007
Last updated Aug 15th, 2019 - about 7 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 1417076175 NPPES
New Jersey MEDICAID 0130371

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