Elliott, Jacob J

Elliott, Jacob J is an sole proprietor health care provider with primary practice located at 5600 Monroe St Ste 201, Sylvania OH 43560-2731. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Elliott, Jacob J can be contacted via phone (419) 885-1910.

Contact Information

Primary practice address
5600 Monroe St Ste 201 Sylvania OH 43560-2731
Phone: (419) 885-1910
Fax: (419) 885-5060
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 260 Ohio

Profile Details

NPI number 1629065701
LBN Legal business name Elliott, Jacob J
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2005
Last updated Dec 20th, 2010 - about 14 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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