Elliott, Jennifer L

Elliott, Jennifer L is an individual health care provider with primary practice located at 3920 S Rome St , Gilbert AZ 85297-7366. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Elliott, Jennifer L can be contacted via phone (480) 597-4778.

Contact Information

Primary practice address
3920 S Rome St Gilbert AZ 85297-7366
Phone: (480) 597-4778
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X OP60155521 Washington
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X DO1413 Nevada
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 4804 Arizona

Profile Details

NPI number 1427263482
LBN Legal business name Elliott, Jennifer L
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2007
Last updated Nov 4th, 2020 - about 4 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 1427263482 NPPES
Washington Other P01314799 RR MEDICARE
Washington MEDICAID 1427263485 RR MEDICARE

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