Elam, Mary Jane
Elam, Mary Jane is an individual health care provider with primary practice located at 1857 Millikin Rd , Columbus OH 43210-1215. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Elam, Mary Jane can be contacted via phone (614) 292-0110.Contact Information
Primary practice address
1857 Millikin Rd
Columbus OH 43210-1215
Phone: (614) 292-0110
Fax: (614) 247-6074
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Contractor | 171W00000X | 35054026 | Ohio |
Profile Details
| NPI number | 1255305736 |
|---|---|
| LBN Legal business name | Elam, Mary Jane |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 14th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1255305736 | NPPES |
| Ohio | MEDICAID | 0749613 |
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