| J M Elliott Inc | |
|
2037 Us Highway 41 Schererville IN 46375-2801 | |
| (219) 227-8477 | |
| Not Available |
| Full Name | J M Elliott Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2037 Us Highway 41, Schererville, Indiana |
| Authorized Official Name and Position | Jan Elliott (OWNER) |
| Authorized Official Contact | 2199221502 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| J M Elliott Inc 2037 Us Highway 41 Schererville IN 46375-2801 Ph: () - | J M Elliott Inc 2037 Us Highway 41 Schererville IN 46375-2801 Ph: (219) 227-8477 |
| NPI Number | 1598201360 |
|---|---|
| Provider Enumeration Date | 01/17/2017 |
| Last Update Date | 01/17/2017 |
| Medicare PECOS PAC ID | 3173807773 |
|---|---|
| Medicare Enrollment ID | O20170227001917 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598201360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Jeannette M Elliott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790798171 PECOS PAC ID: 1254616295 Enrollment ID: I20170228002416 |
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