Elliott, Jude Regan

Elliott, Jude Regan is an individual health care provider with primary practice located at 675 12Th St Se , Salem OR 97301-4002. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist, which is considered as his primary health care specialty. Elliott, Jude Regan can be contacted via phone (503) 581-9191.

Contact Information

Primary practice address
675 12Th St Se Salem OR 97301-4002
Fax:
Website:

Health care specialties

Profile Details

NPI number 1154845204
LBN Legal business name Elliott, Jude Regan
Credentials CPO
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2017
Last updated Jul 31st, 2017 - about 7 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 1154845204 NPPES
Oregon MEDICAID 1930

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