Sholevar, Ellen
Sholevar, Ellen is an individual health care provider with primary practice located at 3440 Market Street 200, Philadelphia PA 19104. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Sholevar, Ellen can be contacted via phone (215) 590-7555.Contact Information
Primary practice address
3440 Market Street 200
Philadelphia PA 19104
Phone: (215) 590-7555
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MD-009811E | Pennsylvania |
Profile Details
| NPI number | 1770572323 |
|---|---|
| LBN Legal business name | Sholevar, Ellen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2005 |
| Last updated | Feb 5th, 2015 - about 11 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 | 1770572323 | NPPES |
| Pennsylvania | MEDICAID | 0013919910008 |
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