Kaczmarek, Ellen Marie

Kaczmarek, Ellen Marie is an individual health care provider with primary practice located at 310 Long Shoals Rd Suite 310, Arden NC 28704-8794. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Kaczmarek, Ellen Marie can be contacted via phone (828) 213-8235.

Contact Information

Primary practice address
310 Long Shoals Rd Suite 310 Arden NC 28704-8794
Phone: (828) 213-8235
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 200201376 North Carolina
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 200201376 North Carolina

Profile Details

NPI number 1619914231
LBN Legal business name Kaczmarek, Ellen Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Oct 20th, 2015 - about 9 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 1619914231 NPPES
North Carolina MEDICAID 1619914231

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