Dasenbrook, Elliott Chandler
Dasenbrook, Elliott Chandler is an individual health care provider with primary practice located at 11100 Euclid Ave , Cleveland OH 44106-1716. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Pediatric Pulmonology. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Dasenbrook, Elliott Chandler can be contacted via phone (216) 844-8500.Contact Information
Primary practice address
11100 Euclid Ave
Cleveland OH 44106-1716
Phone: (216) 844-8500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | D0065050 | Maryland |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | D0065050 | Maryland |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | D0065050 | Maryland |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 35-094125 | Ohio |
| Allopathic & Osteopathic Physicians / Pediatric Pulmonology | 2080P0214X | 35-094125 | Ohio |
Profile Details
| NPI number | 1780772632 |
|---|---|
| LBN Legal business name | Dasenbrook, Elliott Chandler |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 10th, 2006 |
| Last updated | Jun 28th, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780772632 | NPPES |
| Michigan | MEDICAID | 1780772632 | |
| Michigan | MEDICAID | 2973626 | |
| Michigan | MEDICAID | 1024958210001 |
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