Smith, Ellen L

Smith, Ellen L is an individual health care provider with primary practice located at 18101 Prince Philip Dr , Olney MD 20832-1514. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Smith, Ellen L can be contacted via phone (301) 774-8900.

Contact Information

Primary practice address
18101 Prince Philip Dr Olney MD 20832-1514
Phone: (301) 774-8900
Fax: (301) 570-8574
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X D0043536 Maryland

Profile Details

NPI number 1770572463
LBN Legal business name Smith, Ellen L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2005
Last updated Jul 21st, 2022 - about 4 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 1770572463 NPPES
Maryland MEDICAID 192051100
Maryland Other 0022

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