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:
Health care specialties
Specialty | Code | License # | 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 5 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 | 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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