Elmore, Sarah Rose

Elmore, Sarah Rose is an individual health care provider with primary practice located at 2011 N Roan St Ste E6 , Johnson City TN 37601-3122. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Elmore, Sarah Rose can be contacted via phone (423) 610-7155.

Contact Information

Primary practice address
2011 N Roan St Ste E6 Johnson City TN 37601-3122
Phone: (423) 610-7155
Fax: (423) 610-7154
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X T3411 Tennessee

Profile Details

NPI number 1013444264
LBN Legal business name Elmore, Sarah Rose
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2017
Last updated Jul 21st, 2022 - about 3 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 1013444264 NPPES
Tennessee MEDICAID Q033540

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