Woodruff, Elissa

Woodruff, Elissa is an sole proprietor health care provider with primary practice located at 820 Las Gallinas Ave , San Rafael CA 94903-3410. She recently has only one registered license in Managed Care Organizations / Health Maintenance Organization, which is considered as her primary health care specialty. Woodruff, Elissa can be contacted via phone (415) 491-3013.

Contact Information

Primary practice address
820 Las Gallinas Ave San Rafael CA 94903-3410
Phone: (415) 491-3013
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Health Maintenance Organization 302R00000X PSY26236 California

Profile Details

NPI number 1447663133
LBN Legal business name Woodruff, Elissa
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 10th, 2014
Last updated Jun 10th, 2014 - about 10 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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