Provider Demographics
NPI:1700608536
Name:FOLKS, ELISHA
Entity type:Individual
Prefix:
First Name:ELISHA
Middle Name:
Last Name:FOLKS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1318 GATEVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94130
Mailing Address - Country:US
Mailing Address - Phone:415-629-2749
Mailing Address - Fax:
Practice Address - Street 1:1318 GATEVIEW AVENUE
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94130
Practice Address - Country:US
Practice Address - Phone:415-629-2749
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-31
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker