Eller, Karen Michelle
Eller, Karen Michelle is an sole proprietor health care provider with primary practice located at 41A Marshellen Dr Palmetto Pain Pa, Beaufort SC 29902-6900. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Eller, Karen Michelle can be contacted via phone (843) 522-3456.Contact Information
Primary practice address
41A Marshellen Dr Palmetto Pain Pa
Beaufort SC 29902-6900
Phone: (843) 522-3456
Fax: (843) 522-8263
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 33094 | South Carolina |
Profile Details
| NPI number | 1205888765 |
|---|---|
| LBN Legal business name | Eller, Karen Michelle |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 16th, 2006 |
| Last updated | Mar 7th, 2023 - about 2 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 | 1205888765 | NPPES |
| South Carolina | Other | 21483 | STATE LICENSE |
| South Carolina | MEDICAID | GP0036 | STATE LICENSE |
| South Carolina | Other | 33094 | STATE LICENSE |
| South Carolina | Other | 201486939 | STATE LICENSE |
| South Carolina | Other | ELKA | STATE LICENSE |
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