Elliott-Mullens, Danette Rai

Elliott-Mullens, Danette Rai is an individual health care provider with primary practice located at 2650 Ne Courtney Dr , Bend OR 97701-7636. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Elliott-Mullens, Danette Rai can be contacted via phone (541) 647-5200.

Contact Information

Primary practice address
2650 Ne Courtney Dr Bend OR 97701-7636
Fax:
Website:

Health care specialties

Profile Details

NPI number 1417977042
LBN Legal business name Elliott-Mullens, Danette Rai
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Apr 11th, 2024 - about last year

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 1417977042 NPPES
Texas MEDICAID 143444105
Texas Other 15402701
Texas Other 2023050669
Texas Other 8AJ420
Texas MEDICAID 500621599

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