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Contact Information

KATHARINA E ELLIOTT
601 JOHN ST
SUITE M005
KALAMAZOO, MI49007-5341
 Phone: 269-341-6350
 Fax: 269-341-8580
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Hematology-Oncology

2080P0207X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for KATHARINA E ELLIOTT · (Female)

NPI # 1710956347
Status Active
Credentials
Entity Individual
Enumeration date 03/16/2006
Last updated 11/27/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4301072976
  • MI Medicaid 1710956347
  • MI Medicaid 4186840
  • Other 3503904111 BCBS
  • MI Other 1417961137 BCBSM - BRONSON
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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