Elison, Peyman A

Elison, Peyman A is an individual health care provider with primary practice located at 14823 W Bell Rd Suite 100, Surprise AZ 85374-7607. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Elison, Peyman A can be contacted via phone (623) 584-5556.

Contact Information

Primary practice address
14823 W Bell Rd Suite 100 Surprise AZ 85374-7607
Phone: (623) 584-5556
Fax: (623) 584-0755
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 0517 Arizona

Profile Details

NPI number 1861563132
LBN Legal business name Elison, Peyman A
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2006
Last updated Nov 16th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861563132 NPPES
Arizona Other 27-4422072 TAX ID

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