Dr. Carl Ellenberger JR.
Neurologist
96 Birch Ave
Mount Gretna
, Pennsylvania 17064-0070
Dr. Carl Ellenberger JR.
Neurologist
96 Birch Ave
Mount Gretna
, Pennsylvania 17064-0070
(717) 964-3885
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About
Features
Specialties
- Neurologist
Languages spoken
- English
Location
First Address
- Dr. Carl Ellenberger JR.
- Po Box 70 96 Birch Av
- Mount Gretna, PA
- Zip : 17064-0070
- Fax : (717) 964-3885
- Phone : (717) 964-3885
Second Address
- Dr. Carl Ellenberger JR.
- 96 Birch Ave
- Mount Gretna, PA
- Zip : 17064-0070
- Fax : (717) 964-3885
- Phone : (717) 964-3885
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2084N0400X | Neurologist | G 18787 | CA |
National Provider Identifier
| NPI | 1023255536 |
|---|---|
| Provider Name | Dr. Carl Ellenberger JR. |
| First Address | Mount Gretna, PA 17064-0070 |
| Second Address | Mount Gretna, PA 17064-0070 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/01/2009 |
| Last Update Date | 21/01/2009 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.