Luedeman, Michael Sean

Luedeman, Michael Sean is an individual health care provider with primary practice located at 1505 W Elk Ave Ste 2 , Elizabethton TN 37643-2848. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Luedeman, Michael Sean can be contacted via phone (423) 543-1261.

Contact Information

Primary practice address
1505 W Elk Ave Ste 2 Elizabethton TN 37643-2848
Phone: (423) 543-1261
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 14495 Nevada
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 66943 Tennessee

Profile Details

NPI number 1255592390
LBN Legal business name Luedeman, Michael Sean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2008
Last updated Jun 10th, 2024 - about last year

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 1255592390 NPPES
Nevada MEDICAID 1255592390

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