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ANTHONY W ELLIOTT II, KCSA
3300 JUSTINIAN
JEFFERSONVILLE, IN47130-8630
 Phone: 502-523-6317
 Fax: 812-288-1119
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type
Indicates primary specialty

NPI Profile & details for ANTHONY W ELLIOTT II · (Male)

NPI # 1548488588
Status Active
Credentials KCSA
Entity Individual
Enumeration date 04/23/2007
Last updated 10/04/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • KY License # SA102
  • KY Other 000000628536 ANTHEM BC/BS
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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