Elliott, Sandra Y

Elliott, Sandra Y is an individual health care provider with primary practice located at 3200 Maccorkle Avenue Se Camc Outpatient Clinics, Charleston WV 25304. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is her primary health care specialty. Elliott, Sandra Y can be contacted via phone (304) 388-5590.

Contact Information

Primary practice address
3200 Maccorkle Avenue Se Camc Outpatient Clinics Charleston WV 25304
Phone: (304) 388-5590
Fax: (304) 388-8238
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 15724 West Virginia
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 15724 West Virginia

Profile Details

NPI number 1255422846
LBN Legal business name Elliott, Sandra Y
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Mar 7th, 2023 - about 3 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 1255422846 NPPES
West Virginia MEDICAID 0075205000

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