Drew, Danny Elliott
Drew, Danny Elliott is an sole proprietor health care provider with primary practice located at 110 W Castle St Ste 100, Mount Shasta CA 96067-2163. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Drew, Danny Elliott can be contacted via phone (530) 926-9897.Contact Information
Primary practice address
110 W Castle St Ste 100
Mount Shasta CA 96067-2163
Phone: (530) 926-9897
Fax: (530) 926-2217
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A98440 | California |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD152952 | Oregon |
Profile Details
| NPI number | 1881747046 |
|---|---|
| LBN Legal business name | Drew, Danny Elliott |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 19th, 2007 |
| Last updated | Mar 27th, 2012 - about 12 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 | 1881747046 | NPPES |
| California | Other | 00A984400 | MEDICARE |
| California | Other | R15844 | MEDICARE |
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