De, Elise
De, Elise is an individual health care provider with primary practice located at 165 Cambridge St Fl 7 , Boston MA 02114-2783. She recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as her primary health care specialty. De, Elise can be contacted via phone (617) 726-0122.Contact Information
Primary practice address
165 Cambridge St Fl 7
Boston MA 02114-2783
Phone: (617) 726-0122
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 236214 | New York |
Profile Details
| NPI number | 1699855619 |
|---|---|
| LBN Legal business name | De, Elise |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 16th, 2006 |
| Last updated | Jul 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699855619 | NPPES |
| New York | MEDICAID | 02662164 |
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