Elleby, Barron D.
Elleby, Barron D. is an individual health care provider with primary practice located at 415 Dairy Rd Ste D , Kahului HI 96732-2348. 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. Elleby, Barron D. can be contacted via phone (808) 877-3668.Contact Information
Primary practice address
415 Dairy Rd Ste D
Kahului HI 96732-2348
Phone: (808) 877-3668
Fax: (808) 877-3248
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | PO-224 | Hawaii |
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | POD001069 | Georgia |
Profile Details
NPI number | 1861536021 |
---|---|
LBN Legal business name | Elleby, Barron D. |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 19th, 2007 |
Last updated | Apr 17th, 2019 - about 5 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 | 1861536021 | NPPES |
Hawaii | MEDICAID | 825911 | |
Hawaii | MEDICAID | 849237270A |
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