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
Fax: (805) 681-1768
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366454225 NPPES
California MEDICAID 00G426630

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