Elliott, Max A

Elliott, Max A is an individual health care provider with primary practice located at 1200 E Elizabeth St , Fort Collins CO 80524-4007. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Elliott, Max A can be contacted via phone (970) 402-4501.

Contact Information

Primary practice address
1200 E Elizabeth St Fort Collins CO 80524-4007
Phone: (970) 402-4501
Fax: (970) 482-2635
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 18499 Colorado

Profile Details

NPI number 1710954185
LBN Legal business name Elliott, Max A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2006
Last updated Dec 7th, 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 1710954185 NPPES
Colorado MEDICAID 1184993

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