Elston, Dirk Michael

Elston, Dirk Michael is an individual health care provider with primary practice located at 171 Ashley Ave , Charleston SC 29425-8908. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Elston, Dirk Michael can be contacted via phone (843) 792-1414.

Contact Information

Primary practice address
171 Ashley Ave Charleston SC 29425-8908
Phone: (843) 792-1414
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MD033258E Pennsylvania
Allopathic & Osteopathic Physicians / Dermatopathology 207ZD0900X MD033258E Pennsylvania
Allopathic & Osteopathic Physicians / Dermatopathology 207ZD0900X 260871 New York
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 260871 New York
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 35527 South Carolina

Profile Details

NPI number 1669449161
LBN Legal business name Elston, Dirk Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2006
Last updated Apr 8th, 2015 - about 11 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 1669449161 NPPES
Pennsylvania MEDICAID 001894696

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