Carlisle, Elliot Ryan

Carlisle, Elliot Ryan is an individual health care provider with primary practice located at 16311 Ventura Blvd Suite 800, Encino CA 91436-2124. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, which is considered as his primary health care specialty. Carlisle, Elliot Ryan can be contacted via phone (818) 788-7343.

Contact Information

Primary practice address
16311 Ventura Blvd Suite 800 Encino CA 91436-2124
Phone: (818) 788-7343
Fax: (818) 788-9453
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X A74780 California

Profile Details

NPI number 1669453676
LBN Legal business name Carlisle, Elliot Ryan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Dec 29th, 2021 - about 3 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 1669453676 NPPES
California MEDICAID 00A233730

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