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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417076175 | NPPES |
| New Jersey | MEDICAID | 0130371 |
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