Mathias, Elliot K
Mathias, Elliot K is an individual health care provider with primary practice located at 110 Commerce Dr , Shelton CT 06484-6244. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mathias, Elliot K can be contacted via phone (203) 929-7331.Contact Information
Primary practice address
110 Commerce Dr
Shelton CT 06484-6244
Phone: (203) 929-7331
Fax: (203) 925-0330
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 20558 | Connecticut |
Profile Details
| NPI number | 1871669978 |
|---|---|
| LBN Legal business name | Mathias, Elliot K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 28th, 2006 |
| Last updated | May 17th, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871669978 | NPPES |
| Connecticut | MEDICAID | 1205582 |
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