Nacke, Elliot Anthony
Nacke, Elliot Anthony is an individual health care provider with primary practice located at 1305 Jennings Mill Rd Ste 110 , Watkinsville GA 30677-7241. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hand Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Nacke, Elliot Anthony can be contacted via phone (706) 613-5880.Contact Information
Primary practice address
1305 Jennings Mill Rd Ste 110
Watkinsville GA 30677-7241
Phone: (706) 613-5880
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | 036135852 | Illinois |
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 90210 | Georgia |
Profile Details
NPI number | 1932374758 |
---|---|
LBN Legal business name | Nacke, Elliot Anthony |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 23rd, 2008 |
Last updated | Jan 4th, 2022 - about 2 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 | 1932374758 | NPPES |
Illinois | MEDICAID | 036135852 |
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