Elliott, Charles Harold

Elliott, Charles Harold is an individual health care provider with primary practice located at 1 San Rafael Ave Ne , Albuquerque NM 87122-1116. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Elliott, Charles Harold can be contacted via phone (505) 823-1600.

Contact Information

Primary practice address
1 San Rafael Ave Ne Albuquerque NM 87122-1116
Fax: (505) 823-1611
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 333 New Mexico

Profile Details

NPI number 1083712186
LBN Legal business name Elliott, Charles Harold
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Jul 13th, 2024 - about last year

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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