Mahon, Ellen

Mahon, Ellen is an individual health care provider with primary practice located at 2203 E Little Creek Rd , Norfolk VA 23518-4205. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Mahon, Ellen can be contacted via phone (757) 583-2181.

Contact Information

Primary practice address
2203 E Little Creek Rd Norfolk VA 23518-4205
Phone: (757) 583-2181
Fax: (757) 480-6482
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101038508 Virginia

Profile Details

NPI number 1417921818
LBN Legal business name Mahon, Ellen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Apr 12th, 2010 - about 16 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 1417921818 NPPES
Virginia Other 4085864 AETNA
Virginia MEDICAID 010005523 AETNA
Virginia Other 541595397 AETNA
Virginia Other 541595397 AETNA
Virginia Other 463070 AETNA
Virginia Other 541595397 AETNA
Virginia Other 541595397 AETNA
Virginia Other 541595397 AETNA
Virginia Other 66217 AETNA

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