Eller, Jerry J.
Eller, Jerry J. is an individual health care provider with primary practice located at 1221 N Washington St , Livingston AL 35470-5410. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Eller, Jerry J. can be contacted via phone (205) 652-9575.Contact Information
Primary practice address
1221 N Washington St
Livingston AL 35470-5410
Phone: (205) 652-9575
Fax: (205) 652-7979
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 00008273 | Alabama |
| Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases | 2080P0208X | 00008273 | Alabama |
Profile Details
| NPI number | 1184606501 |
|---|---|
| LBN Legal business name | Eller, Jerry J. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 20th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1184606501 | NPPES |
| Other | 51020984 | BLUE CROSS OF AL |
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