Elicker, Brett Michael

Elicker, Brett Michael is an individual health care provider with primary practice located at 1001 Potrero Ave Rm 1X55, San Francisco CA 94110-3518. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Elicker, Brett Michael can be contacted via phone (415) 206-5871.

Contact Information

Primary practice address
1001 Potrero Ave Rm 1X55 San Francisco CA 94110-3518
Phone: (415) 206-5871
Fax: (415) 206-4004
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X A91048 California

Profile Details

NPI number 1891748034
LBN Legal business name Elicker, Brett Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Aug 13th, 2012 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1891748034 NPPES
California MEDICAID 00A910480

Popular Providers