Ludecke, Eleanor
Ludecke, Eleanor is an individual health care provider with primary practice located at 980 Johnson Ferry Rd Ne Suite 620, Atlanta GA 30342-1626. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Ludecke, Eleanor can be contacted via phone (404) 255-2057.Contact Information
Primary practice address
980 Johnson Ferry Rd Ne Suite 620
Atlanta GA 30342-1626
Phone: (404) 255-2057
Fax: (404) 256-4238
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology | 363LX0001X | RN149205 | Georgia |
Profile Details
NPI number | 1508921032 |
---|---|
LBN Legal business name | Ludecke, Eleanor |
Credentials | Certified Nurse Practitioner (CNP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 26th, 2006 |
Last updated | Nov 12th, 2010 - about 14 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 | 1508921032 | NPPES |
Georgia | MEDICAID | 750632085D | |
Georgia | MEDICAID | 750632085C | |
Georgia | MEDICAID | 750632085B | |
Georgia | MEDICAID | 750632085J | |
Georgia | MEDICAID | 750632085F | |
Georgia | MEDICAID | 750632085I | |
Georgia | MEDICAID | 750632085E | |
Georgia | MEDICAID | 750632085K |
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