Elias, Nidal S
Elias, Nidal S is an sole proprietor health care provider with primary practice located at 9250 Baymeadows Rd Suite #300, Jacksonville FL 32256-1883. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Prosthodontics. Dental Providers / Prosthodontics is his primary health care specialty. Elias, Nidal S can be contacted via phone (904) 731-2120.Contact Information
Primary practice address
9250 Baymeadows Rd Suite #300
Jacksonville FL 32256-1883
Phone: (904) 731-2120
Fax: (904) 731-9235
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 11583 | Florida |
| Dental Providers / Prosthodontics | 1223P0700X | 11583 | Florida |
Profile Details
| NPI number | 1255356598 |
|---|---|
| LBN Legal business name | Elias, Nidal S |
| Credentials | DDS, MS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 13th, 2006 |
| Last updated | Aug 11th, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255356598 | NPPES |
| Florida | Other | 59-3051738 | FEDERAL TAX I. D. NUMBER |
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