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ELLIOT PROFESSIONAL SERVICES NPI 1063674760


NPI Information

NPI: 1063674760
Provider Name: ELLIOT PROFESSIONAL SERVICES

Other Name: ELLIOT NEUROLOGY ASSOCIATES

Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
185 QUEEN CITY AVE
ELLIOT NEUROLOGY ASSOCIATES
MANCHESTER, NH
ZIP 03101
Phone: (603) 669-0859
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ELLIOT PROFESSIONAL SERVICES is a neurology psychiatry neurology in Manchester, NH. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. ELLIOT PROFESSIONAL SERVICES NPI is 1063674760. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Elliot Neurology Associates.

The provider's business location address is:

185 QUEEN CITY AVE
ELLIOT NEUROLOGY ASSOCIATES
MANCHESTER, NH
ZIP 03101-100
Phone: (603) 669-0859
Fax: (603) 644-3391

The provider's authorized official is Richard P Herman .
The authorized official title is Director Of Operations & Finance and has the following contact phone number (603) 663-4904.

The enumeration date for this NPI number is 6/25/2008 and was last updated on 3/18/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0400XPsychiatry & NeurologyNeurologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CK3360OTHERNEW HAMPSHIRERR MEDICARE
2RE6661MEDICARE PINNEW HAMPSHIRE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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