Elliott, Sean L

Elliott, Sean L is an individual health care provider with primary practice located at 615 S New Ballas Rd Sjmmc Dept Of Anes, St. Louis MO 63141. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Elliott, Sean L can be contacted via phone (636) 386-9224.

Contact Information

Primary practice address
615 S New Ballas Rd Sjmmc Dept Of Anes St. Louis MO 63141
Phone: (636) 386-9224
Fax: (636) 386-7679
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 2003007014 Missouri

Profile Details

NPI number 1134124076
LBN Legal business name Elliott, Sean L
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Jan 2nd, 2008 - about 16 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 1134124076 NPPES
Missouri MEDICAID 209061704

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