Coburn, Elliot Seth
Coburn, Elliot Seth is an individual health care provider with primary practice located at 52 1St St , Hackensack NJ 07601-2044. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Coburn, Elliot Seth can be contacted via phone (201) 488-3003.Contact Information
Primary practice address
52 1St St
Hackensack NJ 07601-2044
Phone: (201) 488-3003
Fax: (201) 488-6911
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 25MA11065800 | New Jersey |
Profile Details
| NPI number | 1326482837 |
|---|---|
| LBN Legal business name | Coburn, Elliot Seth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2013 |
| Last updated | Aug 9th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326482837 | NPPES |
| New Jersey | MEDICAID | 0813117 |
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