Elliott, Anthony Wayne

Elliott, Anthony Wayne is an individual health care provider with primary practice located at 3300 Justinian , Jeffersonville IN 47130-8630. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Technologist, which is considered as his primary health care specialty. Elliott, Anthony Wayne can be contacted via phone (502) 523-6317.

Contact Information

Primary practice address
3300 Justinian Jeffersonville IN 47130-8630
Phone: (502) 523-6317
Fax: (812) 288-1119
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Technologist 246ZS0410X SA102 Kentucky

Profile Details

NPI number 1548488588
LBN Legal business name Elliott, Anthony Wayne
Credentials KCSA
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2007
Last updated Oct 4th, 2018 - about 8 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 1548488588 NPPES
Kentucky Other 000000628536 ANTHEM BC/BS

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