Elliott-Mullens, Danette Rai
Elliott-Mullens, Danette Rai is an individual health care provider with primary practice located at 2650 Ne Courtney Dr , Bend OR 97701-7636. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Elliott-Mullens, Danette Rai can be contacted via phone (541) 647-5200.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | K9775 | Texas |
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | K9775 | Texas |
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | DO150943 | Oregon |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | DO150943 | Oregon |
Profile Details
| NPI number | 1417977042 |
|---|---|
| LBN Legal business name | Elliott-Mullens, Danette Rai |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2006 |
| Last updated | Apr 11th, 2024 - about last year |
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 | 1417977042 | NPPES |
| Texas | MEDICAID | 143444105 | |
| Texas | Other | 15402701 | |
| Texas | Other | 2023050669 | |
| Texas | Other | 8AJ420 | |
| Texas | MEDICAID | 500621599 |
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