Elijah, Rochelle Yvonne

Elijah, Rochelle Yvonne is an individual health care provider with primary practice located at 3676 Parker Blvd , Pueblo CO 81008-2212. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Elijah, Rochelle Yvonne can be contacted via phone (719) 553-2200.

Contact Information

Primary practice address
3676 Parker Blvd Pueblo CO 81008-2212
Fax: (719) 553-2216
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 37357 Colorado

Profile Details

NPI number 1376504654
LBN Legal business name Elijah, Rochelle Yvonne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated Jul 8th, 2007 - about 17 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 1376504654 NPPES
Colorado MEDICAID 64928730

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