Ludecke, Eleanor

Ludecke, Eleanor is an individual health care provider with primary practice located at 980 Johnson Ferry Rd Ne Suite 620, Atlanta GA 30342-1626. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Ludecke, Eleanor can be contacted via phone (404) 255-2057.

Contact Information

Primary practice address
980 Johnson Ferry Rd Ne Suite 620 Atlanta GA 30342-1626
Phone: (404) 255-2057
Fax: (404) 256-4238
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X RN149205 Georgia

Profile Details

NPI number 1508921032
LBN Legal business name Ludecke, Eleanor
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2006
Last updated Nov 12th, 2010 - about 16 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 1508921032 NPPES
Georgia MEDICAID 750632085D
Georgia MEDICAID 750632085C
Georgia MEDICAID 750632085B
Georgia MEDICAID 750632085J
Georgia MEDICAID 750632085F
Georgia MEDICAID 750632085I
Georgia MEDICAID 750632085E
Georgia MEDICAID 750632085K

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