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BRIAN G ELLIOTT, DPM – NPI #1255426391
Surgery, Foot & Ankle

NPI Profile for BRIAN G ELLIOTT in SHELBYVILLE, IN.

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Contact Information

BRIAN G ELLIOTT, DPM
275 WEST BASSETT RD.
SUITE 4
SHELBYVILLE, IN  46176
 Phone: 317-421-2663
 Fax: 317-825-5305
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

 213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for BRIAN G ELLIOTT · (Male)

NPI # 1255426391
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 10/04/2006
Last updated 12/23/2019 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 07000949
  • IN Medicaid 200413870
  • IN Medicaid 200450000
Hospital affiliation(s)
  • MAJOR HOSPITAL - (Acute Care)
    150 W WASHINGTON ST
    SHELBYVILLE, IN 46176
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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