Asanaki, Elaine

Asanaki, Elaine is an individual health care provider with primary practice located at 201 W 8Th St Suite 810, Pueblo CO 81003-3038. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is her primary health care specialty. Asanaki, Elaine can be contacted via phone (719) 562-4447.

Contact Information

Primary practice address
201 W 8Th St Suite 810 Pueblo CO 81003-3038
Phone: (719) 562-4447
Fax: (719) 583-1801
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Pediatric Dentistry 1223P0221X DN1856107 Massachusetts
Dental Providers / Pediatric Dentistry 1223P0221X 010521 Connecticut

Profile Details

NPI number 1174834030
LBN Legal business name Asanaki, Elaine
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2010
Last updated Dec 11th, 2016 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1174834030 NPPES
Massachusetts MEDICAID 110089498A
Massachusetts MEDICAID 008032579

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