Elliott, William T.

Elliott, William T. is an individual health care provider with primary practice located at 97 San Marin Dr , Novato CA 94945-1100. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Elliott, William T. can be contacted via phone (415) 899-7400.

Contact Information

Primary practice address
97 San Marin Dr Novato CA 94945-1100
Phone: (415) 899-7400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G42750 California

Profile Details

NPI number 1144304122
LBN Legal business name Elliott, William T.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 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 1144304122 NPPES
California MEDICAID 00G427500

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