Duckles, Nancy Ellen

Duckles, Nancy Ellen is an individual health care provider with primary practice located at 2018 W Clinch Ave , Knoxville TN 37916-2301. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Anesthesiology, which is considered as her primary health care specialty. Duckles, Nancy Ellen can be contacted via phone (865) 541-8485.

Contact Information

Primary practice address
2018 W Clinch Ave Knoxville TN 37916-2301
Phone: (865) 541-8485
Fax: (865) 541-8727
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology 207LP3000X 26798 Tennessee

Profile Details

NPI number 1902817091
LBN Legal business name Duckles, Nancy Ellen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated Jul 8th, 2007 - about 17 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 1902817091 NPPES
Tennessee Other 3022049 BCBS BLUECARE TENNCARESEL
Tennessee MEDICAID 3096262 BCBS BLUECARE TENNCARESEL
Tennessee MEDICAID 64922768 BCBS BLUECARE TENNCARESEL

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