Elliott, Liam Kenneth

Elliott, Liam Kenneth is an sole proprietor health care provider with primary practice located at 1300 N Dutton Ave , Santa Rosa CA 95401-7112. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as his primary health care specialty. Elliott, Liam Kenneth can be contacted via phone (707) 396-5151.

Contact Information

Primary practice address
1300 N Dutton Ave Santa Rosa CA 95401-7112
Phone: (707) 396-5151
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 95025942 California

Profile Details

NPI number 1700669611
LBN Legal business name Elliott, Liam Kenneth
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 2023
Last updated Aug 15th, 2023 - about last year

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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