Stay, Ellsworth J

Stay, Ellsworth J is an individual health care provider with primary practice located at 1625 N George Mason Dr Pathology Dept, Arlington VA 22205-3683. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Stay, Ellsworth J can be contacted via phone (703) 558-6541.

Contact Information

Primary practice address
1625 N George Mason Dr Pathology Dept Arlington VA 22205-3683
Phone: (703) 558-6541
Fax: (502) 456-4440
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 0101-029766 Virginia

Profile Details

NPI number 1083647531
LBN Legal business name Stay, Ellsworth J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2006
Last updated Sep 12th, 2011 - about 15 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 1083647531 NPPES
Other 339836 OPTIMUM CHOICE
Other 490050CC62678 OPTIMUM CHOICE
Other 96-2465316 OPTIMUM CHOICE
MEDICAID 006601782 OPTIMUM CHOICE
Other 220017496 OPTIMUM CHOICE
Other 240523 OPTIMUM CHOICE
Other 339836 OPTIMUM CHOICE
Other 16699 OPTIMUM CHOICE
MEDICAID 033007700 OPTIMUM CHOICE
Other 1305167 OPTIMUM CHOICE
Other 339836 OPTIMUM CHOICE
Other 506849 OPTIMUM CHOICE
MEDICAID 879500200 OPTIMUM CHOICE
Other 1022-0004 OPTIMUM CHOICE
Other 11-00210 OPTIMUM CHOICE

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