Elam, David S

Elam, David S is an sole proprietor health care provider with primary practice located at 1133 N H St I, Lompoc CA 93436-3368. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Elam, David S can be contacted via phone (805) 733-4542.

Contact Information

Primary practice address
1133 N H St I Lompoc CA 93436-3368
Fax: (805) 733-4392
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SP5420 California

Profile Details

NPI number 1346230570
LBN Legal business name Elam, David S
Credentials MA CCC SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 27th, 2005
Last updated Feb 28th, 2017 - about 9 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 1346230570 NPPES
California Other 0663623 CHAMPUS
California MEDICAID GSP000390 CHAMPUS

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