Ibe, Elena Gascon

Ibe, Elena Gascon is an individual health care provider with primary practice located at 335 N Caswell Rd , Charlotte NC 28204-2403. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Ibe, Elena Gascon can be contacted via phone (704) 384-7980.

Contact Information

Primary practice address
335 N Caswell Rd Charlotte NC 28204-2403
Fax: (704) 384-7985
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 9400281 North Carolina

Profile Details

NPI number 1164416665
LBN Legal business name Ibe, Elena Gascon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2005
Last updated Jan 29th, 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 1164416665 NPPES
North Carolina MEDICAID 8910688

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