Quinn, Ellora Berthet

Quinn, Ellora Berthet is an individual health care provider with primary practice located at 9010 Lorton Station Blvd Ste 100 , Lorton VA 22079-4796. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Quinn, Ellora Berthet can be contacted via phone (703) 436-1200.

Contact Information

Primary practice address
9010 Lorton Station Blvd Ste 100 Lorton VA 22079-4796
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MT213229 Pennsylvania
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101269623 Virginia

Profile Details

NPI number 1851829816
LBN Legal business name Quinn, Ellora Berthet
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2017
Last updated May 27th, 2021 - about 5 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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