Marco, Elysa Jill
Marco, Elysa Jill is an individual health care provider with primary practice located at 350 Parnassus Ave Ste 609, San Francisco CA 94143-0001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities, which is considered as her primary health care specialty. Marco, Elysa Jill can be contacted via phone (415) 353-2567.Contact Information
Primary practice address
350 Parnassus Ave Ste 609
San Francisco CA 94143-0001
Phone: (415) 353-2567
Fax: (415) 353-2400
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities | 2080P0008X | A78152 | California |
Profile Details
NPI number | 1518032713 |
---|---|
LBN Legal business name | Marco, Elysa Jill |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 22nd, 2006 |
Last updated | Jul 8th, 2007 - about 17 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 | 1518032713 | NPPES |
California | Other | A78152 | LICENSE |
California | MEDICAID | 00A781520 | LICENSE |
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