Elliott, Andrew James

Elliott, Andrew James is an sole proprietor health care provider with primary practice located at 555 E Tachevah Dr Suite 1W-106, Palm Springs CA 92262-5750. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Elliott, Andrew James can be contacted via phone (760) 864-9092.

Contact Information

Primary practice address
555 E Tachevah Dr Suite 1W-106 Palm Springs CA 92262-5750
Phone: (760) 864-9092
Fax: (760) 864-9097
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X G86851 California

Profile Details

NPI number 1053423384
LBN Legal business name Elliott, Andrew James
Credentials MD MPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2006
Last updated Jul 8th, 2007 - about 18 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 1053423384 NPPES
California MEDICAID 00G868510

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