Elliott, Patrick S

Elliott, Patrick S is an individual health care provider with primary practice located at 49 N Walbridge Ave , Madison WI 53714-3506. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Elliott, Patrick S can be contacted via phone (608) 249-2555.

Contact Information

Primary practice address
49 N Walbridge Ave Madison WI 53714-3506
Phone: (608) 249-2555
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 5394015 Wisconsin

Profile Details

NPI number 1679525976
LBN Legal business name Elliott, Patrick S
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Jul 8th, 2007 - about 19 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 1679525976 NPPES
Wisconsin MEDICAID 33788400

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