David Elliott
LBN: David Elliott
David Elliott is an health care organization with primary practice located at 105 Mills Ave Ste 300 , Las Vegas NM 87701-4169. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
David Elliott can be contacted via phone (505) 425-9311, or through Elliott, David H via phone (505) 425-9311.
Contact Information
Primary practice address
105 Mills Ave Ste 300
Las Vegas NM 87701-4169
Phone: (505) 425-9311
Fax: (505) 425-9047
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 76-31 | New Mexico |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 92-PA09 | New Mexico |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | R53421 | New Mexico |
Profile Details
| NPI number | 1649408121 |
|---|---|
| LBN Legal business name | David Elliott |
| DBA Doing business as | |
| Authorized official | Elliott, David H Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 23rd, 2009 |
| Last updated | Jun 23rd, 2009 - about 17 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649408121 | NPPES |
| New Mexico | MEDICAID | 13003 |
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