Eller, Jerry J.

Eller, Jerry J. is an individual health care provider with primary practice located at 1221 N Washington St , Livingston AL 35470-5410. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Eller, Jerry J. can be contacted via phone (205) 652-9575.

Contact Information

Primary practice address
1221 N Washington St Livingston AL 35470-5410
Fax: (205) 652-7979
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 00008273 Alabama
Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases 2080P0208X 00008273 Alabama

Profile Details

NPI number 1184606501
LBN Legal business name Eller, Jerry J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2005
Last updated Jul 8th, 2007 - about 18 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 1184606501 NPPES
Other 51020984 BLUE CROSS OF AL

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