Elliott, William R

Elliott, William R is an individual health care provider with primary practice located at 1827 Riva Ridge Dr , Mansfield OH 44904-2127. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Elliott, William R can be contacted via phone (419) 617-4452.

Contact Information

Primary practice address
1827 Riva Ridge Dr Mansfield OH 44904-2127
Phone: (419) 617-4452
Fax: (419) 617-1080
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 054178 Georgia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 054178 Georgia
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X ME 89642 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME 89642 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35063580 Ohio

Profile Details

NPI number 1013981042
LBN Legal business name Elliott, William R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Sep 17th, 2014 - 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 1013981042 NPPES
Florida MEDICAID 277657000
Florida MEDICAID 796583793C
Florida MEDICAID 2016704
Florida MEDICAID 796583793B
Florida Other 93165

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