Elias, Ivan J

Elias, Ivan J is an individual health care provider with primary practice located at 125 Baptist Way Ste 4C , Pensacola FL 32503-2254. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Elias, Ivan J can be contacted via phone (850) 626-9626.

Contact Information

Primary practice address
125 Baptist Way Ste 4C Pensacola FL 32503-2254
Phone: (850) 626-9626
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X ME159213 Florida

Profile Details

NPI number 1255337879
LBN Legal business name Elias, Ivan J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2005
Last updated Sep 19th, 2023 - about 3 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 1255337879 NPPES
Missouri MEDICAID 209679000
Missouri MEDICAID 100321540A
Missouri Other 110126494

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