Elliott, Kristen Harbeson
Elliott, Kristen Harbeson is an sole proprietor health care provider with primary practice located at 474 Baker Woods Trl , Martinez GA 30907-2783. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Elliott, Kristen Harbeson can be contacted via phone (803) 221-6535.Contact Information
Primary practice address
474 Baker Woods Trl
Martinez GA 30907-2783
Phone: (803) 221-6535
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 2406 | South Carolina |
Profile Details
| NPI number | 1699970665 |
|---|---|
| LBN Legal business name | Elliott, Kristen Harbeson |
| Credentials | OTRL |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 19th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1699970665 | NPPES |
| South Carolina | MEDICAID | TH1501 |
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