Elliott, Amelia Elisabeth Canright

Elliott, Amelia Elisabeth Canright is an individual health care provider with primary practice located at 2300 N Edward St , Decatur IL 62526-4163. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Elliott, Amelia Elisabeth Canright can be contacted via phone (217) 876-3000.

Contact Information

Primary practice address
2300 N Edward St Decatur IL 62526-4163
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085003759 Illinois

Profile Details

NPI number 1194036269
LBN Legal business name Elliott, Amelia Elisabeth Canright
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2010
Last updated Jul 21st, 2022 - about 2 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 1194036269 NPPES
Illinois Other 085003759 LICENSE
Illinois Other 0110004231 LICENSE

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