Tom Elsbury Insurance Agency LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

0405832 Issued in MO

Legal business name

TOM ELSBURY INSURANCE AGENCY LLC

Practice address

201 S Allen St
Centralia, MO 65240-1385

Phone

(573) 682-3234

NPI assigned

Oct 16, 2013

Last updated

Oct 16, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Tom Edward Elsbury

Title

Owner

Phone

(573) 682-3234

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1381881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381881600000",
    "number": "1184052854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S ALLEN ST",
            "city": "CENTRALIA",
            "state": "MO",
            "postal_code": "652401385",
            "telephone_number": "573-682-3234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S ALLEN ST",
            "city": "CENTRALIA",
            "state": "MO",
            "postal_code": "652401385",
            "telephone_number": "573-682-3234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOM ELSBURY INSURANCE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-16",
        "last_updated": "2013-10-16",
        "status": "A",
        "authorized_official_last_name": "ELSBURY",
        "authorized_official_first_name": "TOM",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-682-3234",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MO",
            "license": "0405832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Centralia, MO
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.