Elson, Craig Ellsworth

Elson, Craig Ellsworth is an individual health care provider with primary practice located at 7301 College Blvd Suite 110, Overland Park KS 66210-1937. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Elson, Craig Ellsworth can be contacted via phone (913) 341-6297.

Contact Information

Primary practice address
7301 College Blvd Suite 110 Overland Park KS 66210-1937
Phone: (913) 341-6297
Fax: (913) 341-6299
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 429909 Kansas

Profile Details

NPI number 1427011048
LBN Legal business name Elson, Craig Ellsworth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2006
Last updated Jan 24th, 2011 - about 14 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 1427011048 NPPES
Missouri MEDICAID 202973624
Missouri MEDICAID 100124780C

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