Elder, John Frederick
Elder, John Frederick is an individual health care provider with primary practice located at 1199 Prince Ave , Athens GA 30606-2797. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Elder, John Frederick can be contacted via phone (706) 475-7000.Contact Information
Primary practice address
1199 Prince Ave
Athens GA 30606-2797
Phone: (706) 475-7000
Fax: (706) 475-6676
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 020098 | Georgia |
Profile Details
NPI number | 1992781132 |
---|---|
LBN Legal business name | Elder, John Frederick |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 20th, 2005 |
Last updated | Feb 14th, 2018 - 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 | 1992781132 | NPPES |
Georgia | MEDICAID | 000188108B |
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