Elliott, Thomas F

Elliott, Thomas F is an individual health care provider with primary practice located at 2090 Executive Hall Rd Ste 170 , Charleston SC 29407-8710. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Elliott, Thomas F can be contacted via phone (843) 852-3633.

Contact Information

Primary practice address
2090 Executive Hall Rd Ste 170 Charleston SC 29407-8710
Phone: (843) 852-3633
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1336203322
LBN Legal business name Elliott, Thomas F
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2006
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 1336203322 NPPES
South Carolina MEDICAID 190166

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