Eller, Chad R

Eller, Chad R is an individual health care provider with primary practice located at 501 S Sharon Amity Rd Ste 300 , Charlotte NC 28211-0035. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Eller, Chad R can be contacted via phone (704) 377-2424.

Contact Information

Primary practice address
501 S Sharon Amity Rd Ste 300 Charlotte NC 28211-0035
Phone: (704) 377-2424
Fax: (704) 377-2687
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 2003-01223 North Carolina

Profile Details

NPI number 1992784409
LBN Legal business name Eller, Chad R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2006
Last updated Nov 28th, 2018 - about 8 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 1992784409 NPPES
North Carolina Other 1355E BCBS
North Carolina MEDICAID 1992784409 BCBS
North Carolina MEDICAID 891355E BCBS
North Carolina MEDICAID N01229 BCBS

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