Elliot Professional Services
Organization Active NPI Neurology Physician · Manchester, NH
NPI 1063674760 · NPPES record last updated Mar 18, 2011
Key facts
- NPI
- 1063674760
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Neurology Physician 2084N0400X
- Legal business name
- ELLIOT PROFESSIONAL SERVICES
- Practice address
- 185 Queen City Ave
Elliot Neurology Associates
Manchester, NH 03101-7100 - Phone
- (603) 669-0859
- Fax
- (603) 644-3391
- NPI assigned
- Jun 25, 2008
- Organization subpart
- Yes
- Parent organization (as reported)
- ELLIOT PROFESSIONAL SERVICES
Authorized official
- Name
- Richard P Herman
- Title
- Director of Operations & Finance
- Phone
- (603) 663-4904
Parent organization (reported in NPPES) 1
Corporate family (same tax ID) 34
National Provider Directory
- Tax ID family
- Elliot Professional Ser
- Part of
- Elliot Professional Ser
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician |
2084N0400X | Yes |
Addresses
Primary practice location
185 Queen City Ave
Elliot Neurology Associates
Manchester, NH 03101-7100
Mailing address
185 Queen City Ave
Elliot Neurology Associates
Manchester, NH 03101-7100
Phone (603) 669-0859
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CK3360 | Other | NH | RR MEDICARE |
Other names
- Elliot Neurology Associates
Other providers in Manchester, NH
- Elliot Physicians Network
- Elliot Physicians Network
- Elliot Physicians Network
- Elliot Professional Services
- Elliot Professional Services
- Elliot Professional Services
- Elliot Professional Services
- Elliot Professional Services
- Elliot Professional Services
- Elliot Professional Services
All providers in Manchester, NH · Neurology Physician in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.