Ellias, Mazin
Ellias, Mazin is an individual health care provider with primary practice located at 4131 W Loomis Rd Ste 300, Greenfield WI 53221-2057. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Ellias, Mazin can be contacted via phone (414) 325-7246.Contact Information
Primary practice address
4131 W Loomis Rd Ste 300
Greenfield WI 53221-2057
Phone: (414) 325-7246
Fax: (414) 325-3770
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 40486020 | Wisconsin |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 40486-020 | Wisconsin |
Profile Details
| NPI number | 1770500431 |
|---|---|
| LBN Legal business name | Ellias, Mazin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Feb 3rd, 2014 - about 12 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 | 1770500431 | NPPES |
| Wisconsin | Other | 391330887 | ASSOCIATES FOR HEALTHCARE |
| Wisconsin | Other | 391330887 | ASSOCIATES FOR HEALTHCARE |
| Wisconsin | Other | 32492200 | ASSOCIATES FOR HEALTHCARE |
| Wisconsin | Other | P00267689 | ASSOCIATES FOR HEALTHCARE |
| Wisconsin | Other | 68959 | ASSOCIATES FOR HEALTHCARE |
| Wisconsin | MEDICAID | 32492200 | ASSOCIATES FOR HEALTHCARE |
| Wisconsin | Other | 68959 | ASSOCIATES FOR HEALTHCARE |
| Wisconsin | Other | 002339110 | ASSOCIATES FOR HEALTHCARE |
| Wisconsin | Other | ELLIAS | ASSOCIATES FOR HEALTHCARE |
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