Drell, Eliot Robert

Drell, Eliot Robert is an individual health care provider with primary practice located at 1006 Marshall Way , Placerville CA 95667-5706. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Drell, Eliot Robert can be contacted via phone (530) 622-6430.

Contact Information

Primary practice address
1006 Marshall Way Placerville CA 95667-5706
Phone: (530) 622-6430
Fax: (530) 622-3957
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X G42662 California

Profile Details

NPI number 1104871631
LBN Legal business name Drell, Eliot Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Jul 9th, 2007 - about 18 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 1104871631 NPPES
California MEDICAID GR0048710

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