Ensign, Elaine Lenore

Ensign, Elaine Lenore is an individual health care provider with primary practice located at 1002 Bradford Way , Kingston TN 37763. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ensign, Elaine Lenore can be contacted via phone (865) 376-1585.

Contact Information

Primary practice address
1002 Bradford Way Kingston TN 37763
Phone: (865) 376-1585
Fax: (865) 376-1587
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X P1360 Tennessee

Profile Details

NPI number 1104896885
LBN Legal business name Ensign, Elaine Lenore
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Jul 8th, 2007 - about 17 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 1104896885 NPPES
Tennessee Other 0113007 BLUE CROSS BLUE SHIELD
Tennessee MEDICAID 3682131 BLUE CROSS BLUE SHIELD

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