Kipervas, Yelena
Kipervas, Yelena is an individual health care provider with primary practice located at 104 Skinner Hill Rd , Stroudsburg PA 18360-7505. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Kipervas, Yelena can be contacted via phone (570) 619-0080.Contact Information
Primary practice address
104 Skinner Hill Rd
Stroudsburg PA 18360-7505
Phone: (570) 619-0080
Fax: (570) 619-0082
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | OS011926 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OS011926 | Pennsylvania |
Profile Details
| NPI number | 1821127721 |
|---|---|
| LBN Legal business name | Kipervas, Yelena |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 5th, 2007 |
| Last updated | Sep 4th, 2020 - about 6 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 | 1821127721 | NPPES |
| Pennsylvania | MEDICAID | 0018805470004 |
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