Elfervig, John L
Elfervig, John L is an individual health care provider with primary practice located at 825 Ridge Lake Blvd , Memphis TN 38120-9411. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is his primary health care specialty. Elfervig, John L can be contacted via phone (901) 685-2200.Contact Information
Primary practice address
825 Ridge Lake Blvd
Memphis TN 38120-9411
Phone: (901) 685-2200
Fax: (901) 820-2342
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | MD009929 | Tennessee |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | R4424 | Arkansas |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 14866 | Mississippi |
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | 14866 | Mississippi |
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | R4424 | Arkansas |
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | 9929 | Tennessee |
Profile Details
| NPI number | 1619910544 |
|---|---|
| LBN Legal business name | Elfervig, John L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Jan 15th, 2018 - about 7 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 | 1619910544 | NPPES |
| Mississippi | Other | P00658339 | PALMETTO RR MEDICARE |
| Mississippi | Other | 180024050 | PALMETTO RR MEDICARE |
| Mississippi | MEDICAID | 00115592 | PALMETTO RR MEDICARE |
| Mississippi | MEDICAID | 107447001 | PALMETTO RR MEDICARE |
| Mississippi | MEDICAID | 3190249 | PALMETTO RR MEDICARE |
| Mississippi | MEDICAID | 202004503 | PALMETTO RR MEDICARE |
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