Dockery, Elizabeth Julissa

Dockery, Elizabeth Julissa is an individual health care provider with primary practice located at 200 New York Ave Ste 150 , Oak Ridge TN 37830-5227. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Dockery, Elizabeth Julissa can be contacted via phone (865) 835-5850.

Contact Information

Primary practice address
200 New York Ave Ste 150 Oak Ridge TN 37830-5227
Phone: (865) 835-5850
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0116029699 Virginia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 3363 Tennessee

Profile Details

NPI number 1669823332
LBN Legal business name Dockery, Elizabeth Julissa
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2016
Last updated Sep 12th, 2023 - 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 1669823332 NPPES
Tennessee MEDICAID Q050850

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