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
Phone: (202) 216-0245
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972563823 | NPPES |
| New York | MEDICAID | 02366741 |
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