Ellenberger, Kurt Richard
Ellenberger, Kurt Richard is an individual health care provider with primary practice located at Beaufort Memorial Express Care & Occupational Health 974 Ribaut Rd, Beaufort SC 29902. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Ellenberger, Kurt Richard can be contacted via phone (843) 524-3344.Contact Information
Primary practice address
Beaufort Memorial Express Care & Occupational Health 974 Ribaut Rd
Beaufort SC 29902
Phone: (843) 524-3344
Fax: (844) 295-9894
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 19453 | South Carolina |
Profile Details
NPI number | 1053376111 |
---|---|
LBN Legal business name | Ellenberger, Kurt Richard |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 19th, 2006 |
Last updated | May 8th, 2019 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1053376111 | NPPES |
South Carolina | MEDICAID | 194532 | |
South Carolina | Other | 19453 |
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