Elloway, Simon
Elloway, Simon is an sole proprietor health care provider with primary practice located at 155 N Market Blvd , Chehalis WA 98532-2623. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Elloway, Simon can be contacted via phone (360) 748-4461.Contact Information
Primary practice address
155 N Market Blvd
Chehalis WA 98532-2623
Phone: (360) 748-4461
Fax: (360) 748-1626
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD00008970 | Washington |
Profile Details
| NPI number | 1811057870 |
|---|---|
| LBN Legal business name | Elloway, Simon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 11th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1811057870 | NPPES |
| Washington | MEDICAID | 1006287 | |
| Washington | Other | L00110 | |
| Washington | Other | 89270 |
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