Ellenburg, Luke L.

Ellenburg, Luke L. is an individual health care provider with primary practice located at 801 E. Church St , Greeneville TN 37745-6219. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Ellenburg, Luke L. can be contacted via phone (423) 639-6848.

Contact Information

Primary practice address
801 E. Church St Greeneville TN 37745-6219
Phone: (423) 639-6848
Fax: (423) 787-7210
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD010682 Tennessee

Profile Details

NPI number 1932119641
LBN Legal business name Ellenburg, Luke L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Aug 30th, 2010 - about 16 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 1932119641 NPPES
Tennessee MEDICAID 31105711

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