Elliot, Elizabeth Shannon

Elliot, Elizabeth Shannon is an individual health care provider with primary practice located at 5041 N Royal Dr , Traverse City MI 49684-6986. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Elliot, Elizabeth Shannon can be contacted via phone (231) 935-0600.

Contact Information

Primary practice address
5041 N Royal Dr Traverse City MI 49684-6986
Phone: (231) 935-0600
Fax: (231) 935-0613
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 5101012067 Michigan
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 5101012067 Michigan

Profile Details

NPI number 1013919109
LBN Legal business name Elliot, Elizabeth Shannon
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2005
Last updated Feb 21st, 2024 - about 9 months 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 1013919109 NPPES
Michigan MEDICAID 4846781
Michigan Other 70-0-F32947-0
Michigan Other 70-0-F32947-0
Michigan Other 1013919109

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