Elledge, Emmett Scott
Elledge, Emmett Scott is an individual health care provider with primary practice located at 833 Saint Vincents Dr Suite 402, Birmingham AL 35205-1606. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Elledge, Emmett Scott can be contacted via phone (205) 933-9236.Contact Information
Primary practice address
833 Saint Vincents Dr Suite 402
Birmingham AL 35205-1606
Phone: (205) 933-9236
Fax: (205) 933-9236
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 12962 | Alabama |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 12962 | Alabama |
Profile Details
| NPI number | 1437282787 |
|---|---|
| LBN Legal business name | Elledge, Emmett Scott |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2007 |
| Last updated | Feb 11th, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437282787 | NPPES |
| Alabama | MEDICAID | 000024342 |
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