Bortan, Elena

Bortan, Elena is an individual health care provider with primary practice located at 100 Perkins Farm Drive Suite 102, Mystic CT 06355. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is her primary health care specialty. Bortan, Elena can be contacted via phone (860) 870-6385.

Contact Information

Primary practice address
100 Perkins Farm Drive Suite 102 Mystic CT 06355
Phone: (860) 870-6385
Fax: (860) 245-0000
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 235541 Massachusetts
Other Service Providers / Specialist 174400000X 048689 Connecticut
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 048689 Connecticut

Profile Details

NPI number 1922216191
LBN Legal business name Bortan, Elena
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2007
Last updated Jul 19th, 2022 - 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 1922216191 NPPES
Massachusetts Other 224972 LIMITED LICENSE

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