Gertsen, Elena

Gertsen, Elena is an individual health care provider with primary practice located at 1725 W Market St , Johnson City TN 37604-6020. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Gertsen, Elena can be contacted via phone (423) 431-1310.

Contact Information

Primary practice address
1725 W Market St Johnson City TN 37604-6020
Phone: (423) 431-1310
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 0101251153 Virginia
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 48798 Tennessee
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 55622 Minnesota

Profile Details

NPI number 1881858876
LBN Legal business name Gertsen, Elena
Credentials M.D., PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2008
Last updated Aug 9th, 2016 - about 10 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 1881858876 NPPES
Tennessee Other 103I223230 MEDICARE
Tennessee MEDICAID ENROLLED MEDICARE
Tennessee MEDICAID ENROLLED MEDICARE
Tennessee MEDICAID Q003153 MEDICARE

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