Eric Elleby

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1942629787

Eric Elleby is a Family Practice in Cook, Minnesota. Qualified in 2014, 12 years ago. Practices with Cook Area Health Services, Inc, a 27-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying: 12
Licensed in: MN
In the registry since: 2014
Specialties on file: 2

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Cook, MN

No coordinates on file. Search this address in Google Maps

Additional practice locations (2)

815 10th St S, La Crosse, WI 54601-4764 — (608) 392-7390
191 Theater Rd, Onalaska, WI 54650-8679 — (171) 583-8363

Specialties & licences

Family Medicine Physician (primary)	Taxonomy 207Q00000X · Licence 62672 (MN)
Student in an Organized Health Care Education/Training Program	Taxonomy 390200000X

Record details

NPI number	1942629787
Entity type	Individual (Type 1)
Gender	Male
Sole proprietor	Yes
NPI enumerated	April 9, 2014
Last updated in NPPES	June 30, 2021
Certification date	June 30, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialty	FAMILY PRACTICE
Medical school	OTHER
Graduated	2014 (12 years in practice)
Group practice	Cook Area Health Services, Inc — 27 clinicians
Accepts Medicare assignment	Yes — accepts the Medicare-approved amount