Provider Demographics
NPI:1295377695
Name:SILVER, ELIJAH (ND)
Entity Type:Individual
Prefix:DR
First Name:ELIJAH
Middle Name:
Last Name:SILVER
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23650 WOODWARD AVE STE 104
Mailing Address - Street 2:
Mailing Address - City:PLEASANT RIDGE
Mailing Address - State:MI
Mailing Address - Zip Code:48069-1141
Mailing Address - Country:US
Mailing Address - Phone:248-397-4664
Mailing Address - Fax:
Practice Address - Street 1:23650 WOODWARD AVE STE 104
Practice Address - Street 2:
Practice Address - City:PLEASANT RIDGE
Practice Address - State:MI
Practice Address - Zip Code:48069-1141
Practice Address - Country:US
Practice Address - Phone:707-228-5638
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-17
Last Update Date:2019-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT099.0107342175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath