Stein, Elliott Martin
Stein, Elliott Martin is an sole proprietor health care provider with primary practice located at 535 Midvale Way , Mill Valley CA 94941-3705. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry. Allopathic & Osteopathic Physicians / Geriatric Psychiatry is his primary health care specialty. Stein, Elliott Martin can be contacted via phone (156) 729-3524.Contact Information
Primary practice address
535 Midvale Way
Mill Valley CA 94941-3705
Phone: (156) 729-3524
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | G27964 | California |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | ME 30436 | Florida |
| Allopathic & Osteopathic Physicians / Geriatric Psychiatry | 2084P0805X | ME 30436 | Florida |
| Allopathic & Osteopathic Physicians / Geriatric Psychiatry | 2084P0805X | G27964 | California |
Profile Details
| NPI number | 1154379089 |
|---|---|
| LBN Legal business name | Stein, Elliott Martin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 4th, 2006 |
| Last updated | Mar 12th, 2021 - about 3 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 | 1154379089 | NPPES |
| Florida | Other | 92798 | BLUE CROSS/BLUE SHIELD FL |
| Florida | MEDICAID | 059518700 | BLUE CROSS/BLUE SHIELD FL |
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