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
Fax: (844) 295-9894
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053376111 NPPES
South Carolina MEDICAID 194532
South Carolina Other 19453

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