Ellenburg, Donald T.

Ellenburg, Donald T. is an individual health care provider with primary practice located at 2121 Highland Ave , Knoxville TN 37916-1111. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Allergy & Immunology. Allopathic & Osteopathic Physicians / Allergy & Immunology is his primary health care specialty. Ellenburg, Donald T. can be contacted via phone (865) 525-2640.

Contact Information

Primary practice address
2121 Highland Ave Knoxville TN 37916-1111
Phone: (865) 525-2640
Fax: (865) 525-9536
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 31722 Tennessee
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 3958 Tennessee

Profile Details

NPI number 1548354475
LBN Legal business name Ellenburg, Donald T.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Sep 2nd, 2015 - about 10 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 1548354475 NPPES
Tennessee Other 602002950 CARITEN
Tennessee Other 15689 CARITEN
Tennessee MEDICAID 3188882 CARITEN

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