Elliott, Mary B

Elliott, Mary B is an individual health care provider with primary practice located at 260 S Kipling St , Lakewood CO 80226-1086. She recently has only one registered license in Nursing Service Providers / Community Health, which is considered as her primary health care specialty. Elliott, Mary B can be contacted via phone (303) 239-7029.

Contact Information

Primary practice address
260 S Kipling St Lakewood CO 80226-1086
Phone: (303) 239-7029
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Community Health 163WC1500X 92085 Colorado

Profile Details

NPI number 1528154366
LBN Legal business name Elliott, Mary B
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528154366 NPPES
Colorado MEDICAID 07920853

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