Chediak, Elias
Chediak, Elias is an individual health care provider with primary practice located at 601 Missouri St Ste 1, Lawrence KS 66044-2361. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Chediak, Elias can be contacted via phone (785) 841-7430.Contact Information
Primary practice address
601 Missouri St Ste 1
Lawrence KS 66044-2361
Phone: (785) 841-7430
Fax: (785) 841-6411
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 14762 | Kansas |
Profile Details
| NPI number | 1528060878 |
|---|---|
| LBN Legal business name | Chediak, Elias |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2005 |
| Last updated | Jan 14th, 2014 - about 11 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 | 1528060878 | NPPES |
| Kansas | MEDICAID | 100089000A |
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