Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 175L00000X | Homeopath | FFF/11/296 | ZZ |
NPI | 1003014168 |
---|---|
Provider Name | Dr. John M Elliott |
First Address | Louisville, KY 40220-2615 |
Second Address | Mckinney, TX 75070-4068 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2007 |
Last Update Date | 09/09/2016 |