Elder, Harvey A

Elder, Harvey A is an individual health care provider with primary practice located at 1454 E 2Nd St , San Bernardino CA 92408-0118. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Elder, Harvey A can be contacted via phone (909) 382-7146.

Contact Information

Primary practice address
1454 E 2Nd St San Bernardino CA 92408-0118
Phone: (909) 382-7146
Fax: (909) 382-7101
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X A18452 California

Profile Details

NPI number 1487767489
LBN Legal business name Elder, Harvey A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2006
Last updated Apr 15th, 2013 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487767489 NPPES
California MEDICAID 00A184520

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