Elias, Jeffrey R.

Elias, Jeffrey R. is an individual health care provider with primary practice located at 1800 East Park Avenue , State College PA 16803. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Elias, Jeffrey R. can be contacted via phone (814) 278-4851.

Contact Information

Primary practice address
1800 East Park Avenue State College PA 16803
Phone: (814) 278-4851
Fax: (814) 231-7138
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X OS-010510-L Pennsylvania

Profile Details

NPI number 1508876889
LBN Legal business name Elias, Jeffrey R.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Nov 14th, 2013 - about 13 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 1508876889 NPPES
Pennsylvania Other 000561357 BLUE CROSS
Pennsylvania MEDICAID 0018035480003 BLUE CROSS

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