Erdoes, Luke Stephan

Erdoes, Luke Stephan is an individual health care provider with primary practice located at 2 Professional Park Dr Ste 11 , Johnson City TN 37604-6584. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Erdoes, Luke Stephan can be contacted via phone (423) 434-7400.

Contact Information

Primary practice address
2 Professional Park Dr Ste 11 Johnson City TN 37604-6584
Phone: (423) 434-7400
Fax: (423) 434-7401
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 8186235-1205 Utah
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 116955 Alaska
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 34700 Tennessee

Profile Details

NPI number 1558355511
LBN Legal business name Erdoes, Luke Stephan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2005
Last updated Apr 15th, 2019 - about 6 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 1558355511 NPPES
Virginia MEDICAID 1558355511
Virginia MEDICAID 3860965
Virginia Other P00136769
Virginia Other TN0181
Virginia Other 8856383
Virginia MEDICAID Q030493
Virginia Other 4082499

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