Elliott, Mark T
Elliott, Mark T is an individual health care provider with primary practice located at 1621 S Melrose Dr Suite F, Vista CA 92081-5401. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Elliott, Mark T can be contacted via phone (760) 598-9200.Contact Information
Primary practice address
1621 S Melrose Dr Suite F
Vista CA 92081-5401
Phone: (760) 598-9200
Fax: (760) 598-9202
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | DC21313 | California |
Profile Details
| NPI number | 1114967122 |
|---|---|
| LBN Legal business name | Elliott, Mark T |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2006 |
| Last updated | Feb 15th, 2011 - about 13 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 | 1114967122 | NPPES |
| California | Other | DC21313 | STATE LICENSE NUMBER |
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