Carter, Ellen Phyllis
Carter, Ellen Phyllis is an sole proprietor health care provider with primary practice located at 5180 Park Ave Ste #260, Memphis TN 38119. She recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as her primary health care specialty. Carter, Ellen Phyllis can be contacted via phone (901) 683-5827.Contact Information
Primary practice address
5180 Park Ave Ste #260
Memphis TN 38119
Phone: (901) 683-5827
Fax: (901) 766-1640
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | DS4082 | Tennessee |
Profile Details
| NPI number | 1538263132 |
|---|---|
| LBN Legal business name | Carter, Ellen Phyllis |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 12th, 2006 |
| Last updated | Aug 16th, 2013 - about 13 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 | 1538263132 | NPPES |
| Tennessee | MEDICAID | 3224928 | |
| Tennessee | MEDICAID | Q000894 |
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