Elder, John G
Elder, John G is an individual health care provider with primary practice located at 215 Pesetas Ln , Santa Barbara CA 93110-1416. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Elder, John G can be contacted via phone (805) 681-1761.Contact Information
Primary practice address
215 Pesetas Ln
Santa Barbara CA 93110-1416
Phone: (805) 681-1761
Fax: (805) 681-1768
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | G42663 | California |
Profile Details
| NPI number | 1366454225 |
|---|---|
| LBN Legal business name | Elder, John G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2006 |
| Last updated | Nov 8th, 2010 - 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 | 1366454225 | NPPES |
| California | MEDICAID | 00G426630 |
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