Stein, Elliott Martin

Stein, Elliott Martin is an sole proprietor health care provider with primary practice located at 535 Midvale Way , Mill Valley CA 94941-3705. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry. Allopathic & Osteopathic Physicians / Geriatric Psychiatry is his primary health care specialty. Stein, Elliott Martin can be contacted via phone (156) 729-3524.

Contact Information

Primary practice address
535 Midvale Way Mill Valley CA 94941-3705
Phone: (156) 729-3524
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X G27964 California
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME 30436 Florida
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X ME 30436 Florida
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X G27964 California

Profile Details

NPI number 1154379089
LBN Legal business name Stein, Elliott Martin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 4th, 2006
Last updated Mar 12th, 2021 - about 5 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 1154379089 NPPES
Florida Other 92798 BLUE CROSS/BLUE SHIELD FL
Florida MEDICAID 059518700 BLUE CROSS/BLUE SHIELD FL

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