Whitken, Elliott M.

Whitken, Elliott M. is an individual health care provider with primary practice located at 3357B Corridor Marketplace , Laurel MD 20724-2381. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Whitken, Elliott M. can be contacted via phone (301) 497-1820.

Contact Information

Primary practice address
3357B Corridor Marketplace Laurel MD 20724-2381
Phone: (301) 497-1820
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X C0001716 Maryland

Profile Details

NPI number 1255377685
LBN Legal business name Whitken, Elliott M.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Mar 22nd, 2018 - about 8 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 1255377685 NPPES
Maryland MEDICAID 022004300

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