Im, Ellen E

Im, Ellen E is an individual health care provider with primary practice located at 4881 Sugar Maple Dr Nephrology Clinic, Wright Patterson Afb OH 45433-5529. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Nephrology is her primary health care specialty. Im, Ellen E can be contacted via phone (937) 257-9911.

Contact Information

Primary practice address
4881 Sugar Maple Dr Nephrology Clinic Wright Patterson Afb OH 45433-5529
Phone: (937) 257-9911
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 0101246440 Virginia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101246440 Virginia

Profile Details

NPI number 1881854834
LBN Legal business name Im, Ellen E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2008
Last updated Jul 17th, 2013 - about 13 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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