Altenburg, Ellen M
Altenburg, Ellen M is an individual health care provider with primary practice located at 6300 N Wickham Rd Ste 132B , Melbourne FL 32940-2023. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Altenburg, Ellen M can be contacted via phone (321) 425-6900.Contact Information
Primary practice address
6300 N Wickham Rd Ste 132B
Melbourne FL 32940-2023
Phone: (321) 425-6900
Fax: (321) 802-5599
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME0073871 | Florida |
Profile Details
| NPI number | 1134193816 |
|---|---|
| LBN Legal business name | Altenburg, Ellen M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 17th, 2006 |
| Last updated | Feb 21st, 2024 - about 9 months 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 | 1134193816 | NPPES |
| Florida | MEDICAID | 023468700 |
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