Fitzsimmons, Eldora L

Fitzsimmons, Eldora L is an sole proprietor health care provider with primary practice located at 1031 Eleanor St , Knoxville TN 37917-6641. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Fitzsimmons, Eldora L can be contacted via phone (865) 607-1031.

Contact Information

Primary practice address
1031 Eleanor St Knoxville TN 37917-6641
Phone: (865) 607-1031
Fax: (865) 523-4818
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 00003384 Tennessee

Profile Details

NPI number 1699757013
LBN Legal business name Fitzsimmons, Eldora L
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 20th, 2005
Last updated Jan 14th, 2020 - about 5 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 1699757013 NPPES
Tennessee Other 249179 COMPSYCH
Tennessee Other 003034281 COMPSYCH
Tennessee Other 138M5 COMPSYCH
Tennessee Other 154785 COMPSYCH
Tennessee Other 95920 COMPSYCH
Tennessee Other 95920 COMPSYCH
Tennessee Other 245841 COMPSYCH
Tennessee Other 245841 COMPSYCH

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