Elliott, Robert Bruce

Elliott, Robert Bruce is an individual health care provider with primary practice located at 500 W Votaw Street , Portland IN 47371-1322. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Elliott, Robert Bruce can be contacted via phone (260) 726-1934.

Contact Information

Primary practice address
500 W Votaw Street Portland IN 47371-1322
Phone: (260) 726-1934
Fax: (260) 726-1911
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01027759A Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01027759A Indiana

Profile Details

NPI number 1437198686
LBN Legal business name Elliott, Robert Bruce
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Sep 18th, 2015 - about 10 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 1437198686 NPPES
Indiana MEDICAID 100468680

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