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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 3 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 1932374758 NPPES
Illinois MEDICAID 036135852

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