Elliott, Clyde Dale
Elliott, Clyde Dale is an individual health care provider with primary practice located at 1022 1St St N Suite 500, Alabaster AL 35007-8706. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Elliott, Clyde Dale can be contacted via phone (205) 663-5775.Contact Information
Primary practice address
1022 1St St N Suite 500
Alabaster AL 35007-8706
Phone: (205) 663-5775
Fax: (205) 664-2112
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 6974 | Alabama |
Profile Details
| NPI number | 1124005673 |
|---|---|
| LBN Legal business name | Elliott, Clyde Dale |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 27th, 2005 |
| Last updated | Jul 21st, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124005673 | NPPES |
| Alabama | MEDICAID | 051552706 |
Popular Providers
-
Vance, Clifton Rodgers
1022 1St St N Ste 500 , Alabaster AL 35007-8740 -
Mcbrayer, John David
1022 1St St N Suite 500, Alabaster AL 35007-8706 -
Bayat, Hamed
1955 W Citracado Pkwy Suite 300, Escondido CA 92029-4113 -
Mulvihill, Daniel F
15611 Pomerado Rd Suite 580, Poway CA 92064-2437 -
Debenedetti, Laura L
2940 N Mccord Rd , Toledo OH 43615-1753 -
Gaddam, Krishna Kishore
1022 1St St N Ste 500 , Alabaster AL 35007-8740 -
Mullens, Mark Lee
1022 1St St N Suite 500, Alabaster AL 35007-8706 -
Mehta, Neeraj
1022 1St St N Ste 500 , Alabaster AL 35007-8740