Elliott, Jeffery D

Elliott, Jeffery D is an sole proprietor health care provider with primary practice located at 1551 Bishop St Suite110/160, San Luis Obispo CA 93401-4635. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Elliott, Jeffery D can be contacted via phone (805) 542-6729.

Contact Information

Primary practice address
1551 Bishop St Suite110/160 San Luis Obispo CA 93401-4635
Phone: (805) 542-6729
Fax: (805) 269-1597
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 12502 California

Profile Details

NPI number 1679656847
LBN Legal business name Elliott, Jeffery D
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 23rd, 2006
Last updated Mar 7th, 2023 - about 2 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 1679656847 NPPES
California Other 12502 NP FURNISHING
California Other 866 NP FURNISHING
California Other 57311 NP FURNISHING
California Other R0052489 NP FURNISHING
California Other 12502 NP FURNISHING
California Other 20005000564-34 NP FURNISHING
California Other 24836 NP FURNISHING
California Other 384948 NP FURNISHING

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