Elliott, Gregory R

Elliott, Gregory R is an individual health care provider with primary practice located at 5875 Bremo Rd Suite 104, Richmond VA 23226-1934. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Pulmonology. Allopathic & Osteopathic Physicians / Pediatric Pulmonology is his primary health care specialty. Elliott, Gregory R can be contacted via phone (804) 287-7770.

Contact Information

Primary practice address
5875 Bremo Rd Suite 104 Richmond VA 23226-1934
Phone: (804) 287-7770
Fax: (804) 287-7801
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101045949 Virginia
Allopathic & Osteopathic Physicians / Pediatric Pulmonology 2080P0214X 0101045949 Virginia

Profile Details

NPI number 1295839629
LBN Legal business name Elliott, Gregory R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2006
Last updated May 10th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295839629 NPPES
Virginia MEDICAID 1295839629
Virginia Other C06778

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