Elliott, Gregory R
Elliott, Gregory R is an individual health care provider with primary practice located at 5875 Bremo Rd Suite 104, Richmond VA 23226-1934. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Pulmonology. Allopathic & Osteopathic Physicians / Pediatric Pulmonology is his primary health care specialty. Elliott, Gregory R can be contacted via phone (804) 287-7770.Contact Information
Primary practice address
5875 Bremo Rd Suite 104
Richmond VA 23226-1934
Phone: (804) 287-7770
Fax: (804) 287-7801
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 0101045949 | Virginia |
Allopathic & Osteopathic Physicians / Pediatric Pulmonology | 2080P0214X | 0101045949 | Virginia |
Profile Details
NPI number | 1295839629 |
---|---|
LBN Legal business name | Elliott, Gregory R |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 7th, 2006 |
Last updated | May 10th, 2010 - about 15 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 | 1295839629 | NPPES |
Virginia | MEDICAID | 1295839629 | |
Virginia | Other | C06778 |
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