Elliott-Mullens, Rod Lee
Elliott-Mullens, Rod Lee is an sole proprietor health care provider with primary practice located at 969 N Mason Rd Ste 250 , Saint Louis MO 63141-6370. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Sleep Medicine is his primary health care specialty. Elliott-Mullens, Rod Lee can be contacted via phone (314) 273-0195.Contact Information
Primary practice address
969 N Mason Rd Ste 250
Saint Louis MO 63141-6370
Phone: (314) 273-0195
Fax: (314) 273-0190
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | 2024006433 | Missouri |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | DO150936 | Oregon |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | K9776 | Texas |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | K-9776 | Texas |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | DO150936 | Oregon |
Profile Details
| NPI number | 1447271986 |
|---|---|
| LBN Legal business name | Elliott-Mullens, Rod Lee |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 21st, 2006 |
| Last updated | May 22nd, 2024 - about 2 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 | 1447271986 | NPPES |
| Oregon | MEDICAID | 500621775 | |
| Oregon | Other | R186837 | |
| Oregon | MEDICAID | 037600601 | |
| Oregon | Other | 10725082 |
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