Elrod, Roy C

Elrod, Roy C is an individual health care provider with primary practice located at 4201 Saint Antoine St Suite 3R, Detroit MI 48201-2153. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Elrod, Roy C can be contacted via phone (313) 745-3000.

Contact Information

Primary practice address
4201 Saint Antoine St Suite 3R Detroit MI 48201-2153
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 4301052020 Michigan

Profile Details

NPI number 1306883541
LBN Legal business name Elrod, Roy C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Aug 26th, 2009 - about 15 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 1306883541 NPPES
Michigan Other RE052020 BC/BS OF MICHIGAN
Michigan MEDICAID 102668958 BC/BS OF MICHIGAN

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