Elston, Dirk Michael
Elston, Dirk Michael is an individual health care provider with primary practice located at 171 Ashley Ave , Charleston SC 29425-8908. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Elston, Dirk Michael can be contacted via phone (843) 792-1414.Contact Information
Primary practice address
171 Ashley Ave
Charleston SC 29425-8908
Phone: (843) 792-1414
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | MD033258E | Pennsylvania |
Allopathic & Osteopathic Physicians / Dermatopathology | 207ZD0900X | MD033258E | Pennsylvania |
Allopathic & Osteopathic Physicians / Dermatopathology | 207ZD0900X | 260871 | New York |
Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 260871 | New York |
Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 35527 | South Carolina |
Profile Details
NPI number | 1669449161 |
---|---|
LBN Legal business name | Elston, Dirk Michael |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 2nd, 2006 |
Last updated | Apr 8th, 2015 - about 9 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 | 1669449161 | NPPES |
Pennsylvania | MEDICAID | 001894696 |
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