Elliott, Robert Edwin

Elliott, Robert Edwin is an individual health care provider with primary practice located at 851 Corporate Dr Suite 203, Lexington KY 40503-5428. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Elliott, Robert Edwin can be contacted via phone (859) 219-0090.

Contact Information

Primary practice address
851 Corporate Dr Suite 203 Lexington KY 40503-5428
Phone: (859) 219-0090
Fax: (859) 219-0339
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 24615 Kentucky

Profile Details

NPI number 1881691657
LBN Legal business name Elliott, Robert Edwin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Jul 8th, 2007 - about 17 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 1881691657 NPPES
Kentucky MEDICAID 64246150

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