Marco, Elysa Jill

Marco, Elysa Jill is an individual health care provider with primary practice located at 350 Parnassus Ave Ste 609, San Francisco CA 94143-0001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities, which is considered as her primary health care specialty. Marco, Elysa Jill can be contacted via phone (415) 353-2567.

Contact Information

Primary practice address
350 Parnassus Ave Ste 609 San Francisco CA 94143-0001
Phone: (415) 353-2567
Fax: (415) 353-2400
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities 2080P0008X A78152 California

Profile Details

NPI number 1518032713
LBN Legal business name Marco, Elysa Jill
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 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 1518032713 NPPES
California Other A78152 LICENSE
California MEDICAID 00A781520 LICENSE

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