Elliott, Michael Stephen
Elliott, Michael Stephen is an individual health care provider with primary practice located at 301 E Waterloo Rd , Edmond OK 73034-8196. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Elliott, Michael Stephen can be contacted via phone (405) 715-2000.Contact Information
Primary practice address
301 E Waterloo Rd
Edmond OK 73034-8196
Phone: (405) 715-2000
Fax: (405) 715-2010
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 19806 | Oklahoma |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 19806 | Oklahoma |
Profile Details
| NPI number | 1770581803 |
|---|---|
| LBN Legal business name | Elliott, Michael Stephen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2005 |
| Last updated | Feb 13th, 2019 - about 5 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 | 1770581803 | NPPES |
| Oklahoma | MEDICAID | 100091460A | |
| Oklahoma | Other | P00196149 |
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