Elek, Kenneth Eugene

Elek, Kenneth Eugene is an individual health care provider with primary practice located at 714 N Michigan St , South Bend IN 46601-1035. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Elek, Kenneth Eugene can be contacted via phone (574) 647-7477.

Contact Information

Primary practice address
714 N Michigan St South Bend IN 46601-1035
Phone: (574) 647-7477
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01031577A Indiana

Profile Details

NPI number 1912995267
LBN Legal business name Elek, Kenneth Eugene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2005
Last updated Aug 22nd, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912995267 NPPES
Indiana MEDICAID 100223720

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