Elliott, Thomas R
Elliott, Thomas R is an sole proprietor health care provider with primary practice located at 1980 W Hospital Dr Ste 300 , Tucson AZ 85704-7805. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Elliott, Thomas R can be contacted via phone (520) 742-9062.Contact Information
Primary practice address
1980 W Hospital Dr Ste 300
Tucson AZ 85704-7805
Phone: (520) 742-9062
Fax: (520) 797-8627
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 11650 | Arizona |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 11650 | Arizona |
Profile Details
| NPI number | 1215087143 |
|---|---|
| LBN Legal business name | Elliott, Thomas R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 11th, 2007 |
| Last updated | Sep 26th, 2012 - about 12 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 | 1215087143 | NPPES |
| Arizona | MEDICAID | 234823 | |
| Arizona | Other | P00998677 |
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