Elendu, Sebastine I

Elendu, Sebastine I is an individual health care provider with primary practice located at 2301 House Ave Suite 201, Cheyenne WY 82001-3176. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Elendu, Sebastine I can be contacted via phone (307) 638-7757.

Contact Information

Primary practice address
2301 House Ave Suite 201 Cheyenne WY 82001-3176
Phone: (307) 638-7757
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 199938 Louisiana
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 32334 South Carolina
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 32334 South Carolina
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 32334 South Carolina

Profile Details

NPI number 1073536074
LBN Legal business name Elendu, Sebastine I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated May 20th, 2015 - about 10 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 1073536074 NPPES
South Carolina MEDICAID NC1134
South Carolina Other GP4306
South Carolina MEDICAID 1076350
South Carolina MEDICAID 02053740
South Carolina Other GP3912

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