Richelson, Elliott
Richelson, Elliott is an individual health care provider with primary practice located at 1300 Marsh Landing Pkwy Ste 112 , Jacksonville Beach FL 32250-2407. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Richelson, Elliott can be contacted via phone (904) 456-0002.Contact Information
Primary practice address
1300 Marsh Landing Pkwy Ste 112
Jacksonville Beach FL 32250-2407
Phone: (904) 456-0002
Fax: (904) 373-0894
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 61847 | Tennessee |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | G170998 | California |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 74291-20 | Wisconsin |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 285944 | Massachusetts |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | EL10717 | New Hampshire |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 264936 | North Carolina |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 25MA10930300 | New Jersey |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 117284 | Florida |
Profile Details
| NPI number | 1124018056 |
|---|---|
| LBN Legal business name | Richelson, Elliott |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 22nd, 2005 |
| Last updated | Dec 1st, 2022 - about 4 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 | 1124018056 | NPPES |
| Florida | Other | 700006036 | RAILROAD MEDICARE |
| Florida | Other | 09949 | RAILROAD MEDICARE |
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