Elliott, Laura K

Elliott, Laura K is an individual health care provider with primary practice located at 2508 25Th St , Rock Island IL 61201-5419. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Elliott, Laura K can be contacted via phone (309) 732-0958.

Contact Information

Primary practice address
2508 25Th St Rock Island IL 61201-5419
Phone: (309) 732-0958
Fax: (309) 732-0963
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A095968 Iowa

Profile Details

NPI number 1205080405
LBN Legal business name Elliott, Laura K
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2008
Last updated Oct 1st, 2018 - about 6 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 1205080405 NPPES
Other 833610 MEDICARE GROUP #

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