Elkins, Lawrence David

Elkins, Lawrence David is an individual health care provider with primary practice located at 2700 Nw Stewart Pkwy , Roseburg OR 97471-1281. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Elkins, Lawrence David can be contacted via phone (541) 464-4456.

Contact Information

Primary practice address
2700 Nw Stewart Pkwy Roseburg OR 97471-1281
Fax: (541) 440-3554
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X L2831 Oregon

Profile Details

NPI number 1053456103
LBN Legal business name Elkins, Lawrence David
Credentials MSW, LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2007
Last updated Jan 8th, 2015 - about 9 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 1053456103 NPPES
Oregon MEDICAID P020

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