Elliott, Luke A

Elliott, Luke A is an individual health care provider with primary practice located at 1040 Medical Park Ave , New Bern NC 28562-5248. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Elliott, Luke A can be contacted via phone (252) 633-1678.

Contact Information

Primary practice address
1040 Medical Park Ave New Bern NC 28562-5248
Phone: (252) 633-1678
Fax: (252) 633-1403
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301054732 Michigan
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 201501224 North Carolina

Profile Details

NPI number 1528050424
LBN Legal business name Elliott, Luke A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2005
Last updated Jan 11th, 2016 - about 9 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 1528050424 NPPES
Michigan MEDICAID 4154275

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