Elliott, Beverley Ann
Elliott, Beverley Ann is an individual health care provider with primary practice located at 813 N Washington Ave , Roswell NM 88201-3941. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Elliott, Beverley Ann can be contacted via phone (575) 622-2606.Contact Information
Primary practice address
813 N Washington Ave
Roswell NM 88201-3941
Phone: (575) 622-2606
Fax: (575) 622-6645
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 94-237 | New Mexico |
Profile Details
| NPI number | 1376595405 |
|---|---|
| LBN Legal business name | Elliott, Beverley Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2006 |
| Last updated | Jun 6th, 2011 - about 13 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 | 1376595405 | NPPES |
| New Mexico | MEDICAID | 15613 |
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