Individual
MR. ELLIOTT EMILE MCGREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
7 MEADOWS SHOPPING CTR, TERRE HAUTE, IN 47803-2373
(812) 237-0211
(812) 237-0182
Mailing address
119 PHOENIX, TERRE HAUTE, IN 47803-1411
(812) 249-9646
(812) 237-0182
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28095018A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000088671
ANTHEM PIN
IN
05
—
200023550A
—
IN
01
—
430050136
RAILROAD PIN
IN
Enumeration date
07/05/2005
Last updated
06/01/2010
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