Harrel, Elizabeth M

Harrel, Elizabeth M is an individual health care provider with primary practice located at 110 Executive Park Dr , Clinton TN 37716-6876. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Harrel, Elizabeth M can be contacted via phone (865) 494-9241.

Contact Information

Primary practice address
110 Executive Park Dr Clinton TN 37716-6876
Phone: (865) 494-9241
Fax: (865) 494-2522
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD0000029300 Tennessee

Profile Details

NPI number 1528055373
LBN Legal business name Harrel, Elizabeth M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2005
Last updated Jan 9th, 2009 - about 16 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 1528055373 NPPES
Tennessee Other 3070005 BLUE CROSS
Tennessee MEDICAID 3813755 BLUE CROSS
Tennessee Other 080112502 BLUE CROSS

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