Thomas, Ellena Mae

Thomas, Ellena Mae is an individual health care provider with primary practice located at 190 Campus Blvd Suite 300, Winchester VA 22601-2872. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Thomas, Ellena Mae can be contacted via phone (540) 667-1244.

Contact Information

Primary practice address
190 Campus Blvd Suite 300 Winchester VA 22601-2872
Phone: (540) 667-1244
Fax: (540) 662-1187
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X Virginia

Profile Details

NPI number 1205969128
LBN Legal business name Thomas, Ellena Mae
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2007
Last updated Sep 15th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1205969128 NPPES
Virginia MEDICAID 1205969128

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