Elliott, Reggie C

Elliott, Reggie C is an individual health care provider with primary practice located at 40 Patterson St Ne , Washington DC 20002-3334. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Elliott, Reggie C can be contacted via phone (202) 216-0245.

Contact Information

Primary practice address
40 Patterson St Ne Washington DC 20002-3334
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 223883 New York

Profile Details

NPI number 1972563823
LBN Legal business name Elliott, Reggie C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated May 3rd, 2012 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972563823 NPPES
New York MEDICAID 02366741

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